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1336545003
MICHELLE BUSH
SHAWNEE, KS
NPI
1336545003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS 267)
Enumeration Date
2014-11-07
Last Update Date
2014-11-07
Business Address
-- MICHELLE BUSH LAC
6221 RICHARDS DR
SHAWNEE, KS 66216-1724
Phone number: 913-248-1943
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Mailing Address
-- MICHELLE BUSH LAC
PO BOX 711
NEWTON, KS 67114-0711
Phone number: 316-283-6743
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