Doctor Name: | MRS. CORTNEY RENEE BUGAR |
NPI Number: | 1033353503 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLMSW |
License Number: | 6801087553 |
Business Practice Address: | 18316 Middlebelt Rd Livonia, MI - 481525007 |
Business Phone Number: | 2486159730 |
Business Fax Number: | |
Mailing Address: | 43749 Dorisa Ct, NORTHVILLE |
State: | MI |
Postal Code: | 481672747 |
Phone Number: | 2483450413 |
Fax Number: | |
NPI Enumeration Date: | 04/28/2009 |
NPI Last Update Date: | 04/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801087553 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |