Individual
ANAIS BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
814 W OKMULGEE ST, MUSKOGEE, OK 74401-6839
(918) 682-9292
(918) 682-0054
Mailing address
75 N 306 RD, HASKELL, OK 74436-2016
(918) 633-7147
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/16/2014
Last updated
09/23/2019
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