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Organization
WENDY LUCKER LLC
Active
Organization
WENDY LUCKER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY LUCKER LCSW (OWNER)
(541) 350-7041
Entity
Organization
Contact information
Practice address
1135 PASADENA AVE S STE 300, SOUTH PASADENA, FL 33707-2856
(541) 350-7041
Mailing address
1135 PASADENA AVE S STE 300, SOUTH PASADENA, FL 33707-2856
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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