Individual
GEORGE BLUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 W COTA ST, SHELTON, WA 98584-2265
(360) 205-8001
Mailing address
PO BOX 2455, SHELTON, WA 98584-5072
(360) 819-5447
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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