Individual
AMY WYETH BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 BUCKS LN, GARDINER, ME 04345-6270
(207) 582-1278
Mailing address
14 BUCKS LN, GARDINER, ME 04345-6270
(207) 582-1278
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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