Individual
DERELMY BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1351 GENERAL GEORGE PATTON RD, NASHVILLE, TN 37221-2446
(240) 818-4984
Mailing address
1351 GENERAL GEORGE PATTON RD, NASHVILLE, TN 37221-2446
(240) 818-4984
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13530
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13530
SOCIAL WORK LICENSURE
TN
Enumeration date
06/01/2022
Last updated
06/01/2022
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