Individual
MS. MARCIA PETERSON BUCKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
41596 GREENWOOD CT, CANTON, MI 48187-3609
(734) 674-8464
Mailing address
41596 GREENWOOD CT, CANTON, MI 48187-3609
(734) 674-8464
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
710100416
MI
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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