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Individual

BUSHRA ISMAIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
41 GARRISON RD, BROOKLINE, MA 02445-4445
(617) 277-8107
Mailing address
1611 BENDING WILLOW LN, HILLIARD, OH 43026-8721
(614) 382-4064

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary

Other

Enumeration date
09/01/2020
Last updated
09/01/2020
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