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Individual

ANGEL LUKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 536-0894
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 536-0894

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
171W00000X
Contractor
251B00000X
Case Management Agency

Other

Enumeration date
11/03/2021
Last updated
04/14/2025
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