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Individual

MS. ROBERTA ANN LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA PSYCHOLOGY, LLP

Contact information

Practice address
23810 MICHIGAN AVE STE 202B, DEARBORN, MI 48124-1830
(313) 359-3161
Mailing address
1648 LEROY ST, FERNDALE, MI 48220-3144
(313) 359-3161

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6361006317
MI

Other

Enumeration date
01/29/2021
Last updated
07/27/2021
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