Individual
ASHLEY LOREN BUCKMASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
121 W MAIN ST, PORT WASHINGTON, WI 53074-1813
(262) 284-8200
Mailing address
121 W MAIN ST, PORT WASHINGTON, WI 53074-1813
(715) 891-8167
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
135276-121
WI
Other
Enumeration date
01/07/2025
Last updated
01/13/2025
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