Individual
DR. MARIJO NEW LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1788 WILMINGTON PIKE, SUITE 2700, GLEN MILLS, PA 19342-8181
(610) 299-3478
Mailing address
PO BOX 134, ROCKLAND, DE 19732-0134
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS006577L
PA
Other
Enumeration date
06/24/2009
Last updated
08/23/2009
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