Individual
MRS. FAYLENCIA BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15957 BAINEBRIDGE DR, JACKSONVILLE, FL 32218-8347
(904) 404-9445
Mailing address
15957 BAINEBRIDGE DR, JACKSONVILLE, FL 32218-8347
(904) 404-9445
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW15850
FL
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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