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Individual

MRS. KIMBERLY A BUSHANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
341 W MAIN ST, CATSKILL, NY 12414-1621
(518) 943-2300
Mailing address
341 W MAIN ST, CATSKILL, NY 12414-1621
(518) 943-2300

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
72 069228
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01502941
NY
Enumeration date
02/01/2011
Last updated
02/01/2011
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