SearchMaryland1041C0700X

Dwayne Buckingham, M.S.W, PHD

NPI 1578555397 · on the registry since 2005 · sole proprietor

Practice

Address
9524 Baltimore Ave
Laurel, MD 20723
Phone
(210) 382-2672

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
1041C0700X
Licence states on file
MO, MI, MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland