Individual
KARLEY BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14409 GREENVIEW DR STE 102, LAUREL, MD 20708-4213
(301) 498-8100
Mailing address
PO BOX 500, BROOKEVILLE, MD 20833-0500
(301) 498-8100
(301) 498-0009
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
00083L
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00083L
STATE DEPARTMENT OF HEALTH
MD
Enumeration date
07/21/2021
Last updated
07/21/2021
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