Individual
TRACEY BUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8903
(843) 347-4888
Mailing address
606 35TH AVE S, NORTH MYRTLE BEACH, SC 29582-4926
(843) 457-9224
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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