Individual
KIRA L BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42669 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-5036
(586) 412-5321
(586) 412-5327
Mailing address
42669 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-5036
(586) 412-5321
(586) 412-5327
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015527
MI
Other
Enumeration date
08/13/2013
Last updated
09/10/2013
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