Individual
CHRISTINA VIDMAR BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1700 S LAMAR BLVD STE 240, AUSTIN, TX 78704-3361
(512) 440-4053
Mailing address
18824 EDINBURGH CASTLE RD, PFLUGERVILLE, TX 78660-7578
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
67836
TX
1041C0700X
Clinical Social Worker
67836
TX
Other
Enumeration date
06/18/2019
Last updated
09/25/2024
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