Candace Buckley | |
W228s2323 Oriole Dr Waukesha WI 53186-6371 | |
(262) 501-0770 | |
Not Available |
Full Name | Candace Buckley |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | W228s2323 Oriole Dr, Waukesha, Wisconsin |
Authorized Official Name and Position | Candace Lynn Buckley (SOCIAL WORKER) |
Authorized Official Contact | 2625010770 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Candace Buckley W228s2323 Oriole Dr Waukesha WI 53186-6371 Ph: (262) 501-0770 | Candace Buckley W228s2323 Oriole Dr Waukesha WI 53186-6371 Ph: (262) 501-0770 |
NPI Number | 1215332028 |
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Provider Enumeration Date | 10/23/2014 |
Last Update Date | 10/23/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215332028 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 7921 (Wisconsin) | Primary |
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