Individual
ASHLEY BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 W CARROLL AVE, CHICAGO, IL 60607-1105
(312) 733-0883
Mailing address
701 S WELLS ST APT 2301, CHICAGO, IL 60607-4634
(513) 374-5506
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.103533
IL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/10/2018
Last updated
04/28/2020
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