Individual
ANDREA M BUCK
Active
Individual
ANDREA M BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DP-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
685118257
MI
2255A2300X
Athletic Trainer
—
MI
Other
Enumeration date
10/28/2020
Last updated
08/29/2025
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