MICHAEL BUSH

CLARKSVILLE, TN
NPI1033584446
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TN  5371)
Enumeration Date2015-12-10
Last Update Date2015-12-10
Business Address
-- MICHAEL BUSH SLP-CCC
621 GRACEY AVE
CLARKSVILLE, TN 37040-4012
Phone number: 423-622-1551
Mailing Address
-- MICHAEL BUSH SLP-CCC
PO BOX 8114
CHATTANOOGA, TN 37414-0114
Phone number: 423-622-1551
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