LOIS BUSH-JACKSON

MASSAPEQUA, NY
NPI1578775300
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R020547)
Enumeration Date2007-05-04
Last Update Date2007-07-08
Business Address
-- LOIS BUSH-JACKSON LCSW
85 ROOSEVELT AVE
MASSAPEQUA, NY 11758-6822
Phone number: 516-541-6785
Mailing Address
-- LOIS BUSH-JACKSON LCSW
972 BRUSH HOLLOW RD
WESTBURY, NY 11590-1740
Phone number: 516-876-5555
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