Individual
VIRGINIA LUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 OFFICE PARK DR, GULF SHORES, AL 36542-3432
(251) 609-5199
Mailing address
830 BISHOPS CT, BIRMINGHAM, AL 35242-7017
(205) 253-6903
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
06/19/2024
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