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Individual

MARY T. BUSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., PSY.N.P.

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1909
AZ
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
AP2219
AZ

Other

Enumeration date
09/07/2005
Last updated
01/09/2008
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