Individual
KAITLIN BUZALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1411 LINCOLNWAY W, MISHAWAKA, IN 46544-1626
(574) 533-1234
Mailing address
330 LAKEVIEW DR, GOSHEN, IN 46528-9365
(574) 533-1234
(574) 537-2652
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
33007679A
IN
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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