Individual
ALEJANDRA LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW009789
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00Q1
—
GA
05
—
NA
—
GA
Enumeration date
02/14/2022
Last updated
02/14/2022
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