Individual
CAROL LUCIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
31 OCEAN DR, DENNIS PORT, MA 02639-2214
(904) 477-2285
Mailing address
8719 HARPERS GLEN CT, JACKSONVILLE, FL 32256-4543
(904) 477-2285
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW3006
FL
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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