Individual
MRS. JENNIFER L BUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
444 N. WESTHILL BLVD, APPLETON, WI 54914-5715
(920) 750-7000
(920) 364-2451
Mailing address
444 N. WESTHILL BLVD, APPLETON, WI 54914-5715
(920) 750-7000
(920) 364-2451
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7777-123
WI
Other
Enumeration date
06/14/2007
Last updated
12/08/2017
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