Misty D Buckaloo

NPI #1235430182 in Ardmore, Oklahoma

Provider Information

NPI Number: 1235430182
Entity Type: Individual
Name: Misty D Buckaloo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Nov 9, 2010
Last Updated: Nov 9, 2010

Practice Location

Address: 2502 CROSSROADS DR
Address 2: SUITE B
City: Ardmore
State: Oklahoma
ZIP Code: 73401-2503
Phone: (580) 226-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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