Individual
CAROL BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2535 E MOUNT HOPE AVE, LANSING, MI 48910-1913
(517) 599-1869
Mailing address
688 TYRRELL RD, BANCROFT, MI 48414-9741
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801095808
MI
1041C0700X
Clinical Social Worker
Primary
6801095808
MI
Other
Enumeration date
09/16/2015
Last updated
05/14/2026
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