Individual
AMANDA VIVIAN RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
731 WHITE PLAINS RD, BRONX, NY 10473-2631
(718) 589-8775
Mailing address
731 WHITE PLAINS RD, BRONX, NY 10473-2631
(718) 589-8775
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/02/2017
Last updated
02/05/2020
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