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Individual
DR. STEPHANIE MARY BUCK
Active
Individual
DR. STEPHANIE MARY BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., MACP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000236
VT
101YP2500X
Professional Counselor
4801-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891855409
—
WI
Enumeration date
12/12/2006
Last updated
12/03/2012
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