Evelyn J Busnengo, LICSW

NPI #1548342439 in Wareham, Massachusetts

Provider Information

NPI Number: 1548342439
Entity Type: Individual
Name: Evelyn J Busnengo, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LICSW
Enumeration Date: Oct 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 215 SANDWICH RD
City: Wareham
State: Massachusetts
ZIP Code: 02571-1637
Phone: (508) 295-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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