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Individual

MRS. JENNIFER L BUSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ERYT500

Contact information

Practice address
953 4TH ST, MENASHA, WI 54952-2927
(808) 328-2250
Mailing address
953 4TH ST, MENASHA, WI 54952-2927
(808) 328-2250

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
BACB1287776
HI
171400000X
Health & Wellness Coach
Primary

Other

Enumeration date
05/02/2023
Last updated
11/03/2025
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