NPI 1043406648

Tracey M Bushaw, SOCIALWORKER

Practitioner Social Worker Janesville, WI

Practice location

Address: 3530 N County Rd E # F, Janesville, WI 53548-9074
Phone: (608) 758-8412

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 1235-120 (WI)

Other Social Worker providers in Wisconsin →

Registry record

NPI: 1043406648
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Sep 2007
Record last updated: 18 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.