Individual
SUSAN BUEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
18001 N 79TH AVE, SUITE B-45, GLENDALE, AZ 85308-8388
(623) 521-5446
(623) 334-6724
Mailing address
PO BOX 12395, GLENDALE, AZ 85318-2395
(623) 521-5446
(623) 334-6724
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW -13073
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z143796
PTAN
—
Enumeration date
02/10/2011
Last updated
10/23/2011
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