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Individual

MS. MARY ELIZABETH LUCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW,LPC,LMFT

Contact information

Practice address
189 WILSON ST, RACELAND, LA 70394-3140
(985) 805-0281
Mailing address
189 WILSON ST, RACELAND, LA 70394-3140
(985) 805-0281
(985) 664-1301

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1047
LA
1041C0700X
Clinical Social Worker
Primary
2446
LA
106H00000X
Marriage & Family Therapist
271
LA

Other

Enumeration date
02/20/2007
Last updated
08/14/2012
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