Individual provider · NPI-1
Trekenya Buckner
Social Worker · Dublin, GA
NPI number1154027167
StatusActive
Last updated in NPPESFeb 1, 2023
Details
- NPI
- 1154027167
- Entity type
- Individual (NPI-1)
- Name
- Trekenya Buckner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2023
- Certification date
- Feb 1, 2023
- Last updated
- Feb 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | MSW010929 | GA | Yes |
Practice location
212 Palisade DrDublin, GA 31021-7105
Phone 478-697-4639
Mailing address
212 Palisade DrDublin, GA 31021-7105
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