THOMAS MICHAEL BUCKLES

MODESTO, CA
NPI1811020373
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-03-13
Last Update Date2007-07-08
Business Address
-- THOMAS MICHAEL BUCKLES
920 12TH ST
MODESTO, CA 95354-2320
Phone number: 209-558-4081
Mailing Address
-- THOMAS MICHAEL BUCKLES
920 12TH ST
MODESTO, CA 95354-2320
Phone number: 209-558-4081
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