Individual
TAWNY SHADAWN BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2041 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7024
(202) 547-8450
Mailing address
20 CHESAPEAKE ST SE APT 45, WASHINGTON, DC 20032-2819
(202) 258-7554
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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