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Individual
ELIZABETH M BUSHEY
Active
Individual
ELIZABETH M BUSHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
405300000X
Prevention Professional
OCPS.1159
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0459051
—
OH
Enumeration date
09/13/2018
Last updated
10/27/2022
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