Individual
MR. SEAN JOSEPH LUKETICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
171 ROBERTS DR, HILLSBORO, MO 63050-4120
(314) 297-0793
Mailing address
3733 HUNTINGTON VALLEY DR APT A, SAINT LOUIS, MO 63129-2266
(314) 374-1996
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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