Individual
MRS. LEA SUZANNE LUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9300
(304) 429-6741
(304) 429-0262
Mailing address
2239 CIRCLE DR, MILTON, WV 25541-1073
(304) 429-6741
(304) 429-0262
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00940896
WV
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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