Individual
JAMIE BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
942 BEECHER ST, LOUISVILLE, KY 40215-2810
(502) 530-2922
Mailing address
942 BEECHER ST, LOUISVILLE, KY 40215-2810
(502) 530-2922
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
258710
KY
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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