Individual
RICHARD W BUCKWALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
3700 HIGHWAY MM, HANNIBAL, MO 63401-3602
(573) 221-2111
(573) 221-5765
Mailing address
3135 TIMBERIDGE RD, PALMYRA, MO 63461-2446
(573) 769-3777
(573) 221-5765
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003779
MO
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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