Lisa Renee Bush

NPI #1689095358 in Harrison, Michigan

Provider Information

NPI Number: 1689095358
Entity Type: Individual
Name: Lisa Renee Bush
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Dec 26, 2013
Last Updated: Dec 26, 2013

Practice Location

Address: 789 N CLARE AVE
City: Harrison
State: Michigan
ZIP Code: 48625-9194
Phone: (989) 539-2141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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