MAVIS A BUSH

CANTON, NY
NPI1043400658
Former NameMAVIS A HART
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-07-30
Last Update Date2007-07-30
Business Address
Ms. MAVIS A BUSH
80 STATE HIGHWAY 310 SUITE 1
CANTON, NY 13617-1493
Phone number: 315-386-2189
Mailing Address
Ms. MAVIS A BUSH
80 STATE HIGHWAY 310 SUITE 1
CANTON, NY 13617-1493
Phone number: 315-386-2189
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