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1174988190
COLEEN BUCKLEY
SAN LUIS OBISPO, CA
NPI
1174988190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 103210)
Enumeration Date
2015-12-17
Last Update Date
2021-10-15
Business Address
COLEEN BUCKLEY LCSW
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4700
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Mailing Address
COLEEN BUCKLEY LCSW
PO BOX 693
MORRO BAY, CA 93443-0693
Phone number: 805-748-9465
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