Individual
ANNE B. BUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
17 GROFF RD, HORSEHEADS, NY 14845-7925
(607) 738-0733
(607) 562-8854
Mailing address
17 GROFF RD, HORSEHEADS, NY 14845-7925
(607) 738-0733
(607) 562-8854
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R 053342-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01751775
—
NY
Enumeration date
10/19/2005
Last updated
07/08/2007
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