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Debra Bush, LCSW

Social Worker, Clinical in Ore City, TX. Individual provider (NPI-1).

NPI number1386001022
StatusActive
Last updated in NPPESApr 25, 2022

Details

NPI
1386001022
Entity type
Individual (NPI-1)
Name
Debra Bush
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Jan 26, 2016
Certification date
Apr 25, 2022
Last updated
Apr 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical50567TXYes
104100000X Social Worker50567TX

Other names

  • Debbie Bush (Other Name)

Practice location

13283 State Highway 155 N
Ore City, TX 75683-3538

Phone 903-530-2819

Mailing address

6980 Park Slope
Tyler, TX 75703-0316

Other practice locations

1820 Shiloh Rd Ste 1405
Tyler, TX 75703-2458

Phone 903-284-5199

6980 Park Slope
Tyler, TX 75703-0316

Phone 903-530-2819

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