Individual
MAUREEN GALE BUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
N6658 WOODFIELD LN, LAKE MILLS, WI 53551-9740
(608) 843-4555
Mailing address
N6658 WOODFIELD LN, LAKE MILLS, WI 53551-9740
(608) 843-4555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6647-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42236300
—
WI
Enumeration date
02/23/2007
Last updated
07/08/2007
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