Individual
DR. ANTON BABUSHKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, PHD
Contact information
Practice address
1603 E 9 MILE RD, FERNDALE, MI 48220-2065
(248) 514-4955
Mailing address
1603 E 9 MILE RD, FERNDALE, MI 48220-2065
(248) 910-1815
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3434247
—
MI
Enumeration date
05/11/2007
Last updated
03/12/2024
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