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1578878138
SUSANA BUCKETT
SAN DIEGO, CA
NPI
1578878138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2010-08-06
Last Update Date
2010-08-06
Business Address
-- SUSANA BUCKETT
5005 TEXAS ST STE 203
SAN DIEGO, CA 92108-3723
Phone number: 619-692-0727
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Mailing Address
-- SUSANA BUCKETT
5111 BENTON PL
SAN DIEGO, CA 92116-1923
Phone number:
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