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Individual
SHELLEY RAE BUCK
Active
Individual
SHELLEY RAE BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2003023383
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495526501
—
MO
Enumeration date
07/29/2009
Last updated
03/21/2019
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