Search › Washington › 1041C0700X
Shanae Bezusko, LICSW
NPI 1285067942 · on the registry since 2013 · sole proprietor
Practice
- Address
- 10316 107th Avenue Ct
Anderson Island, WA 98303 - Phone
- (971) 314-9513
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
104100000X - Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington