Individual
KIMBERLY SUE BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LAC
Contact information
Practice address
6402 E SUPERSTITION SPRINGS BLVD, 208, MESA, AZ 85206-4392
(480) 668-8301
(480) 558-3020
Mailing address
6402 E SUPERSTITION SPRINGS BLVD, 208, MESA, AZ 85206-4392
(480) 668-8301
(480) 558-3020
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12627
AZ
Other
Enumeration date
05/13/2010
Last updated
02/04/2011
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