Individual
MRS. MICHELLE LYNN BUCKWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
2164 PAPRIKA DR, ORLANDO, FL 32837-8509
(407) 202-0494
(866) 936-3829
Mailing address
2164 PAPRIKA DR, ORLANDO, FL 32837-8509
(407) 202-0494
(866) 936-3829
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457415374
—
FL
Enumeration date
10/16/2017
Last updated
10/16/2017
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