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Individual
MS. SUSAN BUCKLER-MILLER
Active
Individual
MS. SUSAN BUCKLER-MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW LICENSED SOCIAL
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW011554L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016231590001
MEDICADE
PA
Enumeration date
09/02/2006
Last updated
01/04/2018
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