TRACIE L BUSH

MADISON, CT
NPI1043689011
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2015-09-21
Last Update Date2015-09-21
Business Address
-- TRACIE L BUSH M.A., CKPMT
79 COUNTRY WAY
MADISON, CT 06443-1759
Phone number: 203-848-7169
Mailing Address
-- TRACIE L BUSH M.A., CKPMT
79 COUNTRY WAY
MADISON, CT 06443-1759
Phone number: 203-848-7169
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