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1972618742
KIM M BUSHEY
SOUTH BURLINGTON, VT
NPI
1972618742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VT 000033)
Enumeration Date
2006-08-20
Last Update Date
2007-07-08
Business Address
-- KIM M BUSHEY L.A.D.C.
56 W TWIN OAKS TER
SOUTH BURLINGTON, VT 05403-7106
Phone number: 802-847-3333
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Mailing Address
-- KIM M BUSHEY L.A.D.C.
12 GRAVELLE RD
JERICHO, VT 05465-9630
Phone number: 802-899-4754
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