| Doctor Name: | MRS. TONIA G. BUSCH |
| NPI Number: | 1144406794 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.M.S.W. |
| License Number: | 6801006636 |
| Business Practice Address: | 370 Angola St Wolverine Lake, MI - 483902114 |
| Business Phone Number: | 2482556918 |
| Business Fax Number: | |
| Mailing Address: | 370 Angola St, WOLVERINE LAKE |
| State: | MI |
| Postal Code: | 483902114 |
| Phone Number: | 2482556918 |
| Fax Number: | |
| NPI Enumeration Date: | 01/14/2008 |
| NPI Last Update Date: | 01/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | 6801006636 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |