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Data Detail

Name: Kathryn J. Bush 

Designation: Ph.D.

Issue Date: 3/20/1998

Expiration Date: 6/30/2024

License Number: 36-605

Disciplinary Action: None

Company:

City: Gulfport

State: MS

Zip: 39507

Work Phone: (228) 868-6707  Ext:

Civil Commitment Certification: