Selena Bush, LCSW
NPI #1619486081 in Gouverneur, New York
Provider Information
- NPI Number
- 1619486081
- Entity Type
- Individual
- Name
- Selena Bush, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Sep 28, 2017
- Last Updated
- Dec 31, 2020
Practice Location
- Address
- 4673 STATE HIGHWAY 58
- City
- Gouverneur
- State
- New York
- ZIP Code
- 13642-3202
- Phone
- (386) 888-6464
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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