Individual
MS. MARY E BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
390 TOLL GATE RD STE 206, WARWICK, RI 02886-4351
(401) 465-3388
Mailing address
397 THOMPSON RD, THOMPSON, CT 06277-2215
(401) 465-3388
(860) 315-5055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
007069
CT
1041C0700X
Clinical Social Worker
107188
MA
1041C0700X
Clinical Social Worker
Primary
ISW00048
RI
Other
Enumeration date
10/31/2006
Last updated
04/01/2026
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