Individual
DONALD P. RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1900 RANDOLPH RD, SUITE 800, CHARLOTTE, NC 28207-1122
(704) 384-1246
(704) 384-6072
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1246
(704) 384-6072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C005000
NC
Other
Enumeration date
09/29/2008
Last updated
10/26/2020
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