Organization
MARY M BUXTON LCSW, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MARTIN BUXTON LCSW 7780 (PSYCHOTHERAPIST)
(408) 810-8624
Entity
Organization
Contact information
Practice address
15951 LOS GATOS BLVD, #14, LOS GATOS, CA 95032-3428
(408) 371-4847
Mailing address
15951 LOS GATOS BLVD, #14, LOS GATOS, CA 95032-3488
(408) 371-4847
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
LCS7780
CA
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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