Individual
DR. JOHN ALLEN LUCERO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D., M.S.W.
Contact information
Practice address
9501 FARRELL RD, FORT BELVOIR, VA 22060-5901
(703) 696-4934
(703) 696-9256
Mailing address
132 WOOD DUCK CIR, LA PLATA, MD 20646-9368
(301) 934-2240
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
02762
MD
Other
Enumeration date
10/26/2005
Last updated
07/08/2007
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