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Individual

COLLEEN ANN BUSCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS/CCC-SLP

Contact information

Practice address
704 DESPLAINE RD, DE PERE, WI 54115-3718
(920) 217-4384
Mailing address
704 DESPLAINE RD, DE PERE, WI 54115-3718
(920) 217-4384

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1609-154
WI

Other

Enumeration date
12/28/2009
Last updated
12/28/2009
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