Individual
CAROLINE GRACE BUCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 JULIA AVE, LEBANON, KY 40033-1604
(270) 699-5652
Mailing address
340 JULIA AVE, LEBANON, KY 40033-1604
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
04/01/2024
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