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Individual

DR. WILMA J. BUSSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ED.D

Contact information

Practice address
73 TREMONT ST FL 5, BOSTON, MA 02108-3916
(617) 573-8226
Mailing address
234 E MAIN ST, GLOUCESTER, MA 01930-4143
(978) 282-4503

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
4677
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4677
PSYCH. LICENSE
MA
Enumeration date
03/20/2007
Last updated
07/08/2007
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