Individual
MICHAEL DAVID BUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
203 GOOD AVE, INDIANAPOLIS, IN 46219-7210
(765) 238-0226
Mailing address
5224 E WALNUT ST, INDIANAPOLIS, IN 46219-5650
(812) 320-4534
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/28/2020
Last updated
03/28/2020
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