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1649930173
KELLY A. BUSH
DAVENPORT, IA
NPI
1649930173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 077404)
Enumeration Date
2021-12-24
Last Update Date
2021-12-24
Business Address
KELLY A. BUSH L.I.S.W.
1811 PINEACRE AVE
DAVENPORT, IA 52803-3555
Phone number: 563-528-9191
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Mailing Address
KELLY A. BUSH L.I.S.W.
1811 PINEACRE AVE
DAVENPORT, IA 52803-3555
Phone number:
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