Individual
DR. SUZANNE YOUNG BUSHFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D,, MSW
Contact information
Practice address
4701 W THUNDERBIRD RD, GLENDALE, AZ 85306-4900
(602) 543-6609
(602) 543-6612
Mailing address
19835 N 92ND AVE, PEORIA, AZ 85382-0987
(602) 543-6609
(602) 543-6612
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BCD26122
AZ
1041C0700X
Clinical Social Worker
LCSW 1185
ID
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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