Individual
MS. MYRA H. BUSHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 281-3888
Mailing address
1489 COPPER RUN BLVD, LEXINGTON, KY 40514-2223
(859) 224-0375
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
386
KY
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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