Individual
MRS. CYNTHIA LU BUSHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1515 MOCKINGBIRD LN, SUITE 902, CHARLOTTE, NC 28209-3236
(704) 522-8300
Mailing address
1515 MOCKINGBIRD LN, SUITE 902, CHARLOTTE, NC 28209-3236
(704) 522-8300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C000210
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20313
BLUE CROSS BLUE SHIELD
NC
05
—
6003177
—
NC
Enumeration date
09/20/2006
Last updated
07/08/2007
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