Individual
MR. DENNIS MILTON BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
907 CROSSLANES ST, MT PLEASANT, MI 48858-1814
(989) 773-1643
Mailing address
907 CROSSLANES ST, MT PLEASANT, MI 48858-1814
(989) 773-1643
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6301003974
MI
1041C0700X
Clinical Social Worker
6801016813
MI
Other
Enumeration date
07/09/2007
Last updated
07/09/2007
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