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Individual

MRS. ALICIA LUCKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1205 4TH ST, KEY WEST, FL 33040-3707
(305) 292-6843
Mailing address
1049 COXON LN, CUDJOE KEY, FL 33042-4320
(305) 735-4478

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/23/2011
Last updated
02/23/2011
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