Individual
MICHAEL BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRS
Contact information
Practice address
118 MONAHAN AVE, DUNMORE, PA 18512-1700
(570) 344-5327
Mailing address
118 MONAHAN AVE, DUNMORE, PA 18512-1700
(570) 344-5327
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
11790
PA
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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