Individual
MS. KATE MERIWETHER BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
1165 ARCADE ST, FACE TO FACE, ST PAUL, MN 55106
(651) 772-5613
(651) 772-5656
Mailing address
1165 ARCADE ST, ST PAUL, MN 55106
(651) 772-5613
(651) 772-5656
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
02378
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105033
UCARE BHP
—
05
—
38355700
—
MN
01
—
88G78BU
BCBS
—
Enumeration date
10/02/2006
Last updated
07/08/2007
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