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Individual
IVANA DE LUCIA
Active
Individual
IVANA DE LUCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
122793
NY
106H00000X
Marriage & Family Therapist
122793
NY
261QM0850X
Adult Mental Health Clinic/Center
122793
NY
261QM0855X
Adolescent and Children Mental Health Clinic/Center
122793
NY
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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