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Individual

JAMES E BUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1525 N RITTER AVE, INDIANAPOLIS, IN 46219-3026
(317) 322-4087
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003090A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100270530A
IN
Enumeration date
05/25/2006
Last updated
09/16/2025
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