Individual
KAREN M BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD CCC-SLP
Contact information
Practice address
2226 MURPHY ST, SHREVEPORT, LA 71103-2549
(318) 286-9416
Mailing address
1520 RAMBERLYN WAY, SHREVEPORT, LA 71105-5419
(318) 286-9416
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3846
LA
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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