# NICOLE BUCKLEY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831781012
- **Authorized official:** NICOLE BUCKLEY (OWNER)
- **Authorized official phone:** (860) 327-5431

## Contact information

- **Practice address:** 988 NEW LONDON TPKE STE 102, GLASTONBURY, CT 06033-5312
- **Practice address phone:** (860) 327-5431
- **Mailing address:** 988 NEW LONDON TPKE STE 102, GLASTONBURY, CT 06033-5312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/09/2021
- **Last updated:** 04/08/2021