Individual
BEVERLY BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1420 VICEROY DR, DALLAS, TX 75235-2208
(214) 358-2300
(214) 366-6088
Mailing address
1420 VICEROY DR, DALLAS, TX 75235-2208
(214) 358-2300
(214) 366-6088
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/23/2009
Last updated
06/13/2019
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