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Individual

MISS JENNIFER MARIE LUCIDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC, NCC, CAADC

Contact information

Practice address
58624 CORY LAKE DR, WASHINGTON TOWNSHIP, MI 48094-2695
(586) 855-1182
Mailing address
58624 CORY LAKE DR, WASHINGTON TOWNSHIP, MI 48094-2695
(586) 855-1182

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011529
MI

Other

Enumeration date
01/10/2012
Last updated
01/10/2012
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