Organization
CANDACE BUCKLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDACE LYNN BUCKLEY LCSW (SOCIAL WORKER)
(262) 501-0770
Entity
Organization
Contact information
Practice address
W228S2323 ORIOLE DR, WAUKESHA, WI 53186-6371
(262) 501-0770
Mailing address
W228S2323 ORIOLE DR, WAUKESHA, WI 53186-6371
(262) 501-0770
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
7921
WI
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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