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Individual
ROBERT LEWIS STUCKEY
Active
Individual
ROBERT LEWIS STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-25422
NC
1041C0700X
Clinical Social Worker
Primary
C011176
NC
Other
Enumeration date
12/12/2015
Last updated
01/27/2020
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