Individual
MILLIE KATHRYN BUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
483 WEST SEED FARM ROAD, SACATON, AZ 85147
(520) 562-3321
Mailing address
PO BOX 38, SACATON, AZ 85147-0001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-11946
AZ
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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