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Individual
ELAINE LEE BUSSEMA
Active
Individual
ELAINE LEE BUSSEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801094749
MI
1041C0700X
Clinical Social Worker
Primary
6801094749
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013467083
—
MI
01
—
MI7819089
MEDICARE
MI
Enumeration date
10/13/2016
Last updated
01/22/2025
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