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Individual
MR. STEVEN ANTHONY BUCK
Active
Individual
MR. STEVEN ANTHONY BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
107821
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300010
MBHP
MA
05
—
1211951
—
MA
01
—
500504
TUFTS
MA
01
—
984033
NETWORK HEALTH
MA
01
—
LICSW
DISCIPLINE
MA
Enumeration date
11/06/2006
Last updated
07/08/2007
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