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Individual

COURTNEY ELAINE BUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1734 ALMOND TREE PL APT B, VALDOSTA, GA 31602-7058
(478) 412-1639
Mailing address
1734 ALMOND TREE PL APT B, VALDOSTA, GA 31602-7058
(478) 412-1639

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW0077001
GA
1041C0700X
Clinical Social Worker
Primary
CSW007141
GA

Other

Enumeration date
06/05/2019
Last updated
05/02/2024
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