JILL BUCKINGHAM, DTR, LICSW

Social Worker - Clinical

Active Individual
NPI: 1235295148

Practice Address

3490 LEXINGTON AVE N STE 205
Shoreview, MN 55126

Phone: (651) 486-3808

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 12099 (MN)

Frequently Asked Questions

NPI 1235295148 is the National Provider Identifier for JILL BUCKINGHAM, DTR, LICSW, a Social Worker - Clinical provider located in Shoreview, MN. This NPI was enumerated on December 28, 2006.
JILL BUCKINGHAM, DTR, LICSW practices at 3490 LEXINGTON AVE N STE 205, Shoreview, MN 55126.

Quick Facts

NPI
1235295148
Type
Individual
Enumerated
Dec 28, 2006
Last Updated
Jul 8, 2007

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