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Individual
MRS. KATHRYN L. BUCKWALD
Active
Individual
MRS. KATHRYN L. BUCKWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., CADC II, CGACI
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
95-10-68
OR
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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