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1710082656
FREDERICK BUSH
SYRACUSE, NY
NPI
1710082656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 066869)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
Mr. FREDERICK BUSH LMSW
800 IRVING AVE
SYRACUSE, NY 13210-2716
Phone number: 315-425-4400
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Mailing Address
Mr. FREDERICK BUSH LMSW
41 N MAIN ST
JORDAN, NY 13080-9736
Phone number: 315-425-2941
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