Individual
GEORGIA FLORENCE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 OAK ST STE G20, NEWTON, MA 02464-1492
(617) 658-5611
Mailing address
9 WINDMILL LN, WESTWOOD, MA 02090-2951
(617) 943-2497
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/11/2021
Last updated
07/11/2021
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