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1932964756
RYAN JOSEPH BUCK
ROSWELL, GA
NPI
1932964756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2024-02-20
Last Update Date
2024-02-20
Business Address
RYAN JOSEPH BUCK BA
500 SUN VALLEY DR STE D2
ROSWELL, GA 30076-5636
Phone number: 770-910-9162
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Mailing Address
RYAN JOSEPH BUCK BA
2560 TREEHOUSE LN
LAWRENCEVILLE, GA 30044-2562
Phone number: 770-815-4794
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