| NPI | 1811374465 |
|---|---|
| Professional Name | ANTANIQUE BUCKLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 26173) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801096954) |
| 1041C0700X Social Worker Clinical (Licence: DC LC500825825) | |
| 1041C0700X Social Worker Clinical (Licence: VA 0904014720) | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2023-04-01 |