Individual
ADRIAN BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
960 CENTURY DRIVE, DIAKON FAMILY LIFE SERVICE, MECHANSIBURG, PA 17055
(717) 795-0330
Mailing address
P O BOX 60112, HARRISBURG, PA 17106
(717) 773-7554
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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