THEODORE ROOSEVELT BUSH

DURHAM, NC
NPI1063889194
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NC  P009689)
Enumeration Date2015-08-24
Last Update Date2015-08-24
Business Address
MR. THEODORE ROOSEVELT BUSH
309 CRUTCHFIELD ST
DURHAM, NC 27704-2754
Phone number: 919-560-7305
Mailing Address
MR. THEODORE ROOSEVELT BUSH
309 CRUTCHFIELD ST
DURHAM, NC 27704-2754
Phone number: 919-560-7305
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