Individual
DR. AMY LYNN ST. LUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DSW, LCSW
Contact information
Practice address
MADIGAN HEALTHCARE SYSTEM, 9040 JACKSON AVENUE, TACOMA, WA 98431-0001
(253) 968-6321
Mailing address
MADIGAN ARMY MEDICAL CENTER, 9920A EAST JOHNSON STREET, TACOMA, WA 98431
(253) 968-4851
(253) 968-3731
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.011560
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149.011560
STATE OF ILLINOIS
IL
Enumeration date
05/15/2007
Last updated
01/31/2025
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