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Individual

MRS. MARISSA LYNN LUCK-DAMER

Active
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Individual

MRS. MARISSA LYNN LUCK-DAMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6801101569
MI
104100000X
Social Worker
6801109553
MI
1041C0700X
Clinical Social Worker
6801101569
MI
1041C0700X
Clinical Social Worker
Primary
6801109553
MI

Other

Enumeration date
02/20/2019
Last updated
11/09/2023
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