MR. Tyler Smith Buckhout, LICSW

NPI #1013455823 in Dorchester, Massachusetts

Provider Information

NPI Number
1013455823
Entity Type
Individual
Name
MR. Tyler Smith Buckhout, LICSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LICSW
Enumeration Date
Feb 1, 2017
Last Updated
Dec 4, 2023

Practice Location

Address
294 BOWDOIN ST
ZIP Code
02122-1814
Phone
(617) 388-7885

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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