MRS. Shanae Marie Bezusko, LICSW

NPI #1285067942 in Anderson Island, Washington

Provider Information

NPI Number: 1285067942
Entity Type: Individual
Name: MRS. Shanae Marie Bezusko, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Aug 16, 2013
Last Updated: Feb 21, 2024

Practice Location

Address: 10316 107TH AVENUE CT
City: Anderson Island
State: Washington
ZIP Code: 98303-8629
Phone: (971) 314-9513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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