Individual
CATHERINE BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
812 E JOLLY RD, SUITE 111, LANSING, MI 48910-6818
(517) 346-8312
Mailing address
812 E JOLLY RD, SUITE 210, LANSING, MI 48910-6818
(517) 346-8200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801094812
MI
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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