Most Relevant Information
Provider Data
| NPI Number: | 1003805334 |
| Provider Name: | ANNE B. BUSSARD LCSW-R |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | R 053342-1 |
Most Important Dates
| Enumeration Date: | 10/19/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
17 GROFF RD
HORSEHEADS
NY
148457925
Practice Location Phone/Fax
| Phone: | 6077380733 |
| Fax: | 6075628854 |
Provider Mailing Location
17 GROFF RD
HORSEHEADS
NY
148457925
Provider Mailing Phone/Fax
| Phone: | 6077380733 |
| Fax: | 6075628854 |