Individual
EDWARD ANTHONY BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
6010 W AMARILLO BLVD, AMARILLO, TX 79106-1990
(806) 355-9703
Mailing address
3113 JANET DR, AMARILLO, TX 79109-3263
(806) 223-8777
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108384
TX
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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