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Individual

DEBRA BUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
13283 STATE HIGHWAY 155 N, ORE CITY, TX 75683-3538
(903) 530-2819
Mailing address
6980 PARK SLOPE, TYLER, TX 75703-0316

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
50567
TX
1041C0700X
Clinical Social Worker
Primary
50567
TX

Other

Enumeration date
01/26/2016
Last updated
04/25/2022
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