Individual
MEMORIE NICOLE BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
PO BOX 39321, INDIANAPOLIS, IN 46239-0321
(317) 397-2843
Mailing address
PO BOX 39321, INDIANAPOLIS, IN 46239-0321
(317) 397-2843
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
03/18/2025
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