Individual
JENNIFER BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1974 ATWOOD AVE, JOHNSTON, RI 02919-3230
(401) 231-7594
(401) 231-7760
Mailing address
1974 ATWOOD AVE, JOHNSTON, RI 02919-3230
(401) 231-7594
(401) 231-7760
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01763
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30343
BLUE CROSS CRISIS
RI
Enumeration date
04/06/2007
Last updated
07/08/2007
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