Individual
DAMON WILLIAM BUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW MSSW
Contact information
Practice address
16535 W BLUEMOUND RD, SUITE 200, BROOKFIELD, WI 53005-5936
(262) 542-3255
Mailing address
16535 W BLUEMOUND RD, SUITE 200, BROOKFIELD, WI 53005-5936
(262) 542-3255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7208-123
WI
Other
Enumeration date
10/10/2005
Last updated
01/17/2008
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