Most Relevant Information
Provider Data
| NPI Number: | 1003010356 |
| Provider Name: | SUSAN BUIST LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 6801046946 |
Most Important Dates
| Enumeration Date: | 06/12/2007 |
| Last Updated: | 08/17/2010 |
Provider Practice Location
602 MICHIGAN AVE
HOLLAND
MI
494234918
Practice Location Phone/Fax
| Phone: | 6163925141 |
| Fax: |
Provider Mailing Location
602 MICHIGAN AVE
HOLLAND
MI
494234918
Provider Mailing Phone/Fax
| Phone: | 6163925141 |
| Fax: |