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Individual

KIMBERLY R BUCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
3825 GREENSPRING AVE, BALTIMORE, MD 21211-1310
(443) 923-7800
Mailing address
3825 GREENSPRING AVE, BALTIMORE, MD 21211-1310
(443) 923-7800

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
30484
MD
1041C0700X
Clinical Social Worker
30484
MD
1041S0200X
School Social Worker
Primary
30484
MD

Other

Enumeration date
09/29/2023
Last updated
10/15/2023
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