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1588935050
SUSAN IDA BUCKER
ANTIOCH, CA
NPI
1588935050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA LF7775)
Enumeration Date
2012-01-15
Last Update Date
2014-11-05
Business Address
MISS SUSAN IDA BUCKER LCSW
4721 DALLAS RANCH RD
ANTIOCH, CA 94531-8811
Phone number: 925-778-0679
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Mailing Address
MISS SUSAN IDA BUCKER LCSW
3025 TAMBURLANE DR
SAN RAMON, CA 94582-2579
Phone number:
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