Individual
PATIENCE BUCKWALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
346 HOLLY LN, LANCASTER, PA 17602-3823
(717) 875-1320
Mailing address
346 HOLLY LN, LANCASTER, PA 17602-3823
(717) 875-1320
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW134215
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW134215
SOCIAL WORKER LICENSE
PA
Enumeration date
09/02/2019
Last updated
09/02/2019
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