Individual
KRYSTAL BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
711 NW 1ST ST, GAINESVILLE, FL 32601-5343
(317) 209-7234
Mailing address
1485 S SEMORAN BLVD, WINTER PARK, FL 32792-5533
(317) 209-7234
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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