Individual
AMANDA I BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1005 WHITE WILLOW WAY, MORGANTOWN, WV 26505-6119
(304) 212-7538
Mailing address
1004 MARCUS CT, MORGANTOWN, WV 26501-7173
(304) 276-7289
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00947091
WV
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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