Individual
OMEGA SHANEE BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1338 WESTEN ST, BOWLING GREEN, KY 42104-3365
(270) 392-5531
(270) 599-0399
Mailing address
1338 WESTEN ST, BOWLING GREEN, KY 42104-3365
(270) 392-5531
(270) 599-0399
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252798
KY
Other
Enumeration date
09/18/2017
Last updated
07/21/2022
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