Individual
EMILY CLARE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 EDGEWOOD PASS, FENTON, MI 48430-3012
(248) 421-0311
Mailing address
545 EDGEWOOD PASS, FENTON, MI 48430-3012
(248) 421-0311
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006386
MI
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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