Tracey M Bushaw, SOCIAL WORKER

NPI #1043406648 in Janesville, Wisconsin

Provider Information

NPI Number: 1043406648
Entity Type: Individual
Name: Tracey M Bushaw, SOCIAL WORKER
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: SOCIAL WORKER
Enumeration Date: Sep 18, 2007
Last Updated: Sep 18, 2007

Practice Location

Address: 3530 N COUNTY RD E # F
City: Janesville
State: Wisconsin
ZIP Code: 53548-9074
Phone: (608) 758-8412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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