Individual
SELENA LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MARLAND AVE, HAMLIN, WV 25523-1058
(304) 824-3033
Mailing address
17 COUNTRY RD, SALT ROCK, WV 25559-9712
(304) 360-6000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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