Individual
DEBORAH BUKOVEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 SANDY BANK RD, MEDIA, PA 19063-1398
(610) 565-1405
Mailing address
425 WESTRIDGE DR, PHOENIXVILLE, PA 19460-3381
(215) 983-5307
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013013
PA
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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