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Individual

AMANDA BUSHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
(315) 801-8205
(315) 801-8352
Mailing address
2209 GENESEE STREET, BUSINESS OFFICE-ROOM 315, UTICA, NY 13501-5930
(315) 801-3282
(315) 801-8391

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104349
NY

Other

Enumeration date
07/11/2019
Last updated
07/11/2019
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