Individual
PATTI E BUSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 POLIFKA DR, SHAW AFB, SC 29152-5100
(803) 895-6095
Mailing address
420 POLIFKA DR, SHAW AFB, SC 29152-5100
(803) 895-6095
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
010701
CT
Other
Enumeration date
06/02/2020
Last updated
08/21/2025
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