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Organization
WELL SPACE, LLC
Active
Organization
WELL SPACE, LLC
Active
Other names
Well Space, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATIA JASMIN ROBINSON LUCERO LCSW (LICENSED CLINICAL SOCIAL WORKER)
(239) 788-4485
Entity
Organization
Contact information
Practice address
3606 14TH ST SW, LEHIGH ACRES, FL 33976-2949
(239) 788-4485
Mailing address
3606 14TH ST SW, LEHIGH ACRES, FL 33976-2949
(239) 788-4485
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018998800
—
FL
Enumeration date
01/08/2021
Last updated
04/08/2025
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