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Individual

LAUREL BUCKNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
245 CAHABA VALLEY PKWY, SUITE 200, PELHAM, AL 35124-2216
(205) 942-6820
Mailing address
401 ARNOLD ST NE, CULLMAN, AL 35055-1968

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
3760
AL
235Z00000X
Speech-Language Pathologist
Primary
SP.10326
OH

Other

Enumeration date
02/09/2016
Last updated
12/22/2020
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