Individual
CHRISTY LEE CELLMER-BUSHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
412 DEMERS AVE, GRAND FORKS, ND 58201-4508
(701) 772-7577
Mailing address
412 DEMERS AVE, GRAND FORKS, ND 58201-4508
(701) 772-7577
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1460508
—
ND
Enumeration date
12/07/2020
Last updated
12/07/2020
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