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Individual

FREDERICKA LUCAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RHIT

Contact information

Practice address
398 W BAGLEY RD STE 216, BEREA, OH 44017-1312
(216) 372-7009
(440) 815-2552
Mailing address
14830 BAGLEY RD APT 205, CLEVELAND, OH 44130-5503
(216) 322-2630

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/23/2020
Last updated
08/23/2020
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