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Individual
LAURA LUCKETT
Active
Individual
LAURA LUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09928195
CO
176B00000X
Midwife
67
CO
Other
Enumeration date
08/02/2010
Last updated
06/22/2024
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