Individual
MRS. MARCIEA W. BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
109 HARRISON AVE, COEUR D' ALENE, ID 83815
(208) 664-8347
(208) 664-9217
Mailing address
2900 GOVERMENT WAY, #136, COEUR D' ALENE, ID 83815
(208) 664-8347
(208) 664-9217
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW-24847
—
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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