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Individual

MS. MARTHA V BUSTERNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MED LPC

Contact information

Practice address
105 VINE CREST COURT, SUITE 300, GREENWOOD, SC 29646
(864) 223-5111
(864) 223-9245
Mailing address
105 VINE CREST COURT, SUITE 700, GREENWOOD, SC 29646
(864) 943-4859
(864) 943-0718

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2151
SC

Other

Enumeration date
06/23/2006
Last updated
11/14/2007
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