Individual
ASHLEY PATRICIA BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
635 S MAPLE RD STE 2, ANN ARBOR, MI 48103-3838
(734) 645-8944
Mailing address
27250 SANTA BARBARA DR, LATHRUP VILLAGE, MI 48076-3349
(248) 245-2811
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401222964
MI
101YP2500X
Professional Counselor
6401018559
MI
Other
Enumeration date
08/20/2020
Last updated
10/07/2022
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