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Individual
MRS. PATRICIA E BUSTON
Active
Individual
MRS. PATRICIA E BUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001084
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022774
VALUE OPTIONS
VA
01
—
061990
BCBS
VA
01
—
081563
SENTARA-OPTIMA
VA
01
—
4038468
BCBS
TN
Enumeration date
11/24/2006
Last updated
07/08/2007
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