Individual
MRS. EBONY SUKARIE-LEATRICE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
14401 FREELAND ST, DETROIT, MI 48227-2893
(313) 595-0684
Mailing address
14401 FREELAND ST, DETROIT, MI 48227-2893
(313) 595-0684
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801088900
MI
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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