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Individual

ELISHA RENEE LUCIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN,RBT

Contact information

Practice address
581 MORRISON AVE, MANSFIELD, OH 44904-1529
(937) 723-0841
Mailing address
581 MORRISON AVE, MANSFIELD, OH 44904-1529
(937) 723-0841

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-22-205641
OH
164W00000X
Licensed Practical Nurse
Primary
PN-109523
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PN-109523
LPN
OH
01
RBT-22-205641
REGISTERED BEHAVIOR TECHNICIAN
OH
Enumeration date
06/05/2022
Last updated
06/05/2022
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