Individual
CARRIE BUSHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
1209 E GARRISON BLVD, GASTONIA, NC 28054-5115
(704) 868-6721
Mailing address
1209 E GARRISON BLVD, GASTONIA, NC 28054-5115
(704) 868-6721
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P007234
NC
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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