Individual
RUTH BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2959 CHAPEL HILL RD STE D118, DOUGLASVILLE, GA 30135-1785
(404) 907-5542
(678) 550-9216
Mailing address
8849 HIGHWAY 5 STE L, DOUGLASVILLE, GA 30134-1500
(404) 907-5542
(678) 550-9216
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
725081
GA
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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