Individual
KATELYN BUKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1621 SASSAFRAS ST, ERIE, PA 16502-1858
(814) 871-4725
Mailing address
19639 COLLIER DR, MEADVILLE, PA 16335-9677
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
PA
1041C0700X
Clinical Social Worker
Primary
CW022691
PA
Other
Enumeration date
11/21/2017
Last updated
05/19/2022
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