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Individual

CHERIE BUCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
201 W BROADWAY ST STE G18, NORTH LITTLE ROCK, AR 72114-5541
(501) 471-9195
Mailing address
201 W BROADWAY ST STE G18, NORTH LITTLE ROCK, AR 72114-5541
(501) 471-9195

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3396-C
AR
1041C0700X
Clinical Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
270228719
AR
Enumeration date
06/27/2011
Last updated
04/26/2023
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