Individual
MRS. STACY RAE BUSHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1008 OLD VIRGINIA BEACH RD, SUITE 100, VIRGINIA BEACH, VA 23451-5564
(757) 422-2118
(757) 422-2388
Mailing address
1008 OLD VIRGINIA BEACH RD, SUITE 100, VIRGINIA BEACH, VA 23451-5564
(757) 422-2118
(757) 422-2388
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904004428
VA
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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