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Individual

PAIGE FORTNEY BUSHNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A, CCC-SLP

Contact information

Practice address
6608 RAYTOWN RD, RAYTOWN, MO 64133-5240
(816) 268-7000
Mailing address
1633 SE 5TH ST, LEES SUMMIT, MO 64063-6152
(816) 809-7317

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
10/07/2014
Last updated
11/21/2016
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