Individual
MR. BRUCE BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW,LICSW,MT-BC
Contact information
Practice address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-2423
Mailing address
15 LUCAS POND RD, NOTTINGHAM, NH 03290-6305
(603) 475-1826
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
110752
MA
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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