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Individual

LEVI CHARLES RUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6626 CLOVIS CT, SAN ANTONIO, TX 78233-4573
(806) 341-4665
Mailing address
6626 CLOVIS CT, SAN ANTONIO, TX 78233-4573

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
61280
TX

Other

Enumeration date
08/18/2017
Last updated
08/18/2017
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