Individual
SAMANTHA BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 S WASSON LN TRLR 74, RIVER FALLS, WI 54022-2736
(715) 417-2720
Mailing address
1450 S WASSON LN TRLR 74, RIVER FALLS, WI 54022-2736
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WI
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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