Individual
MRS. JOAN THERESA BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1901 N OLDEN AVENUE EXT STE 27, EWING, NJ 08618-2111
(609) 439-3164
Mailing address
1901 N OLDEN AVENUE EXT STE 27, EWING, NJ 08618-2111
(609) 439-3164
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SC05426900
NJ
Other
Enumeration date
10/05/2014
Last updated
02/02/2021
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