Individual
EMMA MAE BUCKINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 AMERICAN BLVD E STE 550, BLOOMINGTON, MN 55425-3100
(612) 778-6191
Mailing address
1801 AMERICAN BLVD E STE 8, BLOOMINGTON, MN 55425-1230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/09/2023
Last updated
10/06/2024
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