Individual
CORRINA VALDEZ-BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
211 JB WISE PL, WATERTOWN, NY 13601-2507
(315) 782-7445
(315) 779-1184
Mailing address
PO BOX 6550, WATERTOWN, NY 13601-6550
(315) 782-7445
(315) 777-9615
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
111688-01
NY
1041C0700X
Clinical Social Worker
098068
NY
Other
Enumeration date
08/02/2022
Last updated
07/22/2024
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