Individual
MACKENZIE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13333 NE BEL RED RD STE 100, BELLEVUE, WA 98005-2332
(501) 352-0101
Mailing address
119 MIRAMAR BLVD, LITTLE ROCK, AR 72223-3242
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
61188456
WA
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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