Jennifer Bushmaker

NPI #1578106977 in Two Harbors, Minnesota

Provider Information

NPI Number: 1578106977
Entity Type: Individual
Name: Jennifer Bushmaker
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 18, 2019
Last Updated: Oct 18, 2019

Practice Location

Address: 115 7TH ST
City: Two Harbors
State: Minnesota
ZIP Code: 55616-1528
Phone: (218) 834-6005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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