Individual
MS. JILL BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8788 RUFFIAN LN STE D, NEWBURGH, IN 47630
(812) 204-0401
Mailing address
8788 RUFFIAN LN STE D, NEWBURGH, IN 47630-3405
(812) 204-0401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33006618A
IN
Other
Enumeration date
11/20/2014
Last updated
07/14/2018
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