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Individual

LAURI MICHELE BUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
737 FAWCETT AVE, TACOMA, WA 98402
(253) 396-5800
(253) 697-3730
Mailing address
737 FAWCETT AVE, TACOMA, WA 98402
(253) 396-5800
(253) 697-3730

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
175T00000X
Peer Specialist
CG60770025
WA

Other

Enumeration date
10/17/2018
Last updated
06/25/2024
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