Individual
SHALONDA JULIAETTE' BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 N CARROLL BLVD STE 110, DENTON, TX 76201-9075
(844) 824-8775
Mailing address
303 N CARROLL BLVD STE 110, DENTON, TX 76201-9075
(844) 824-8775
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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