Individual
DEBORAH L BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
201 E 11TH ST, SPENCER, IA 51301-4436
(712) 262-2922
Mailing address
774 560TH ST, CLEGHORN, IA 51014-7045
(712) 225-2403
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
02204
IA
Other
Enumeration date
03/08/2006
Last updated
02/15/2010
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