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Individual

NOLANDA LAJAYA BUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW U/S

Contact information

Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
(405) 424-7711
Mailing address
101 NE 53RD ST APT 2524, OKLAHOMA CITY, OK 73105-1877
(405) 343-4740

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
09/04/2019
Last updated
07/06/2022
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