Individual
JILL BUCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Contact information
Practice address
605 S PATTERSON BLVD, DAYTON, OH 45402-2649
(937) 395-4600
Mailing address
605 S PATTERSON BLVD, DAYTON, OH 45402-2649
(937) 395-4600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I1700396
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2847343
—
OH
Enumeration date
08/23/2017
Last updated
08/23/2017
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