Individual
MACI LOREN DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5545 MURRAY AVE STE 204, MEMPHIS, TN 38119-3898
(901) 496-8296
Mailing address
5918 ROXBURY DR, MEMPHIS, TN 38119-5130
(901) 496-8296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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