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Individual

ANGELIQUE MARIE BUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
2601 HUNTER HEIGHTS DR, WEST BLOOMFIELD, MI 48324-2130
(248) 894-3136
Mailing address
575 WATER ST, WILLIAMSTOWN, MA 01267-2869
(248) 894-3136

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
225621
MA

Other

Enumeration date
11/10/2021
Last updated
11/10/2021
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