Individual
BONNIE BUSCHKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
481 MEDINAH ST, OREGON, WI 53575-3875
(608) 515-3675
Mailing address
481 MEDINAH ST, OREGON, WI 53575-3875
(608) 515-3675
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9303-123
WI
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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