Individual
BETH LUCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
6140 S BROADWAY, LORAIN, OH 44053-3891
(440) 233-7232
Mailing address
6140 S BROADWAY, LORAIN, OH 44053-3891
(440) 233-7232
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1701730
OH
Other
Enumeration date
04/24/2018
Last updated
04/17/2019
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