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1689075137
LATRICIA BUCKNER
BRIDGETON, MO
NPI
1689075137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2014027994)
Enumeration Date
2014-09-15
Last Update Date
2021-08-13
Business Address
LATRICIA BUCKNER LPC
3751 PENNRIDGE DR STE 113
BRIDGETON, MO 63044-1244
Phone number: 314-570-2862
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Mailing Address
LATRICIA BUCKNER LPC
3751 PENNRIDGE DR STE 113
BRIDGETON, MO 63044-1244
Phone number: 314-570-2862
Copy
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