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Individual

MICHELLE RUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
807 RIDGE RD STE 203, WEBSTER, NY 14580-2497
(585) 727-0707
Mailing address
188 COUNTRY MANOR WAY APT 24, WEBSTER, NY 14580-3358
(585) 727-0707

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
013458
NY

Other

Enumeration date
06/23/2021
Last updated
02/04/2025
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