Individual
MRS. KAITLIN ROSEMARY BUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
400 SHERWOOD ST, OTSEGO, MI 49078-1280
(269) 694-7800
Mailing address
3292 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 365-8920
(616) 365-8971
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004982
MI
Other
Enumeration date
06/10/2019
Last updated
02/07/2020
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