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Individual

MR. FREDERICK LUCIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ACSW

Contact information

Practice address
545 LAUREL ST, SAN DIEGO, CA 92101-1634
(619) 233-4399
Mailing address
545 LAUREL ST, SAN DIEGO, CA 92101-1634
(619) 233-4399

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
67948
CA

Other

Enumeration date
04/18/2016
Last updated
08/01/2022
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