PERNELL M.J BUSH

SANFORD, FL
NPI1932607546
Other NamePERNELL MICHEALJEREMY BUSH
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW18109)
Enumeration Date2018-01-29
Last Update Date2024-05-16
Business Address
Mr. PERNELL M.J BUSH LCSW
819 E 1ST ST STE 4
SANFORD, FL 32771-1467
Phone number: 407-906-0139
Mailing Address
Mr. PERNELL M.J BUSH LCSW
819 E 1ST ST STE 4
SANFORD, FL 32771-1467
Phone number: 407-906-0139