Individual
ANGELA KAY BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-S
Contact information
Practice address
1870 N MCCART ST, STEPHENVILLE, TX 76401-2136
(254) 592-7403
Mailing address
1870 N MCCART ST, STEPHENVILLE, TX 76401-2136
(254) 592-7403
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
39018
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385899501
—
TX
Enumeration date
06/12/2018
Last updated
06/17/2025
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