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Individual

CALLY BUCKNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
300 TACONITE ST, SUITE 201, HURLEY, WI 54534-1546
(715) 561-3636
Mailing address
300 TACONITE ST, SUITE 201, HURLEY, WI 54534-1546
(715) 561-3636

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15674-132
WI

Other

Enumeration date
11/15/2012
Last updated
04/06/2017
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