Individual
MRS. CAROLYN GWEN BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LICDIC
Contact information
Practice address
305 15TH ST NE, CANTON, OH 44714-2573
(330) 454-8700
Mailing address
904 MCDOWELL ST NE, CANTON, OH 44721-3133
(330) 499-1598
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E2233
OH
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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