Individual
EMILY BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5619 SANFORD RD, HOUSTON, TX 77096-6141
(815) 954-6723
Mailing address
5619 SANFORD RD, HOUSTON, TX 77096-6141
(815) 954-6723
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
59211
TX
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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