Individual
MARY BUCHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
(612) 302-4600
(612) 302-4870
Mailing address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
(612) 302-4600
(612) 302-4870
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10768
MN
Other
Enumeration date
08/05/2006
Last updated
07/09/2007
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