Individual
MRS. ASHAY MONAE BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1536 SAINT CLAIR AVE NE # S19, CLEVELAND, OH 44114
(216) 220-7250
Mailing address
1536 SAINT CLAIR AVE NE # S19, CLEVELAND, OH 44114-2004
(216) 990-4569
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S1450710
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846675
—
OH
Enumeration date
08/18/2014
Last updated
07/03/2019
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