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Individual

MS. ASHLEY MARIE BUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
30 W PARK AVE, DU BOIS, PA 15801-2452
(814) 771-5254
Mailing address
PO BOX 564, HYDE, PA 16843-0564
(814) 771-5254

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
SW133530
PA
1041C0700X
Clinical Social Worker
Primary
CW021637
PA

Other

Enumeration date
10/29/2016
Last updated
03/19/2021
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