Individual
STEPHANIE BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
845 CHURCH ST N STE 305, CONCORD, NC 28025-4375
(704) 262-1320
Mailing address
8535 CLEVE BROWN RD, CHARLOTTE, NC 28269-0901
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306875695
YOUTH VILLAGES
NC
Enumeration date
03/29/2007
Last updated
07/08/2007
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