Individual
BARRY GORDON BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
3130 N COUNTY ROAD 25A, TROY, OH 45373-1337
(937) 440-7001
(937) 440-7076
Mailing address
3130 N COUNTY ROAD 25A, TROY, OH 45373-1337
(937) 440-7001
(937) 440-7076
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S0001089
OH
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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