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1932607546
PERNELL M.J BUSH
SANFORD, FL
NPI
1932607546
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Other Name
PERNELL MICHEALJEREMY BUSH
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW18109)
Enumeration Date
2018-01-29
Last Update Date
2024-05-16
Business Address
Mr. PERNELL M.J BUSH LCSW
819 E 1ST ST STE 4
SANFORD, FL 32771-1467
Phone number: 407-906-0139
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Mailing Address
Mr. PERNELL M.J BUSH LCSW
819 E 1ST ST STE 4
SANFORD, FL 32771-1467
Phone number: 407-906-0139
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