Individual
PATRICE HORNBUCKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
575 S MAIN ST, PLYMOUTH, MI 48170-1778
(734) 451-7800
Mailing address
575 S MAIN ST, PLYMOUTH, MI 48170-1778
(734) 451-7800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
104100000X
Social Worker
6801091400
MI
Other
Enumeration date
12/10/2013
Last updated
05/10/2018
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