Kelly A. Bush, L.I.S.W.
Social Worker, Clinical in Davenport, IA. Individual provider (NPI-1).
NPI number1649930173
StatusActive
Last updated in NPPESDec 24, 2021
Details
- NPI
- 1649930173
- Entity type
- Individual (NPI-1)
- Name
- Kelly A. Bush
- Credential
- L.I.S.W.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 24, 2021
- Certification date
- Dec 24, 2021
- Last updated
- Dec 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 077404 | IA | Yes |
Practice location
1811 Pineacre AveDavenport, IA 52803-3555
Phone 563-528-9191
Mailing address
1811 Pineacre AveDavenport, IA 52803-3555
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All 121 Clinical Social Worker providers in Davenport · All 2,731 providers in Davenport
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