Individual
MS. TAMEKO BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
24634 5 MILE RD, SUITE 16, DETROIT, MI 48239-3631
(313) 387-9842
(313) 387-9438
Mailing address
24634 5 MILE RD, SUITE 16, DETROIT, MI 48239-3631
(313) 387-9842
(313) 387-9438
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9885209
—
MI
Enumeration date
12/21/2006
Last updated
07/08/2007
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