Candace Buckley

NPI #1215332028 in Waukesha, Wisconsin

Provider Information

NPI Number: 1215332028
Entity Type: Organization
Organization Name: Candace Buckley
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 23, 2014
Last Updated: Oct 23, 2014

Practice Location

Address: W228S2323 ORIOLE DR
City: Waukesha
State: Wisconsin
ZIP Code: 53186-6371
Phone: (262) 501-0770

Authorized Official

Name: MRS. CANDACE LYNN BUCKLEY, LCSW
Title: SOCIAL WORKER
Phone: (262) 501-0770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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