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Individual

NATHAN LUECKING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2307 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5813
(202) 525-4855
Mailing address
2307 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5813
(202) 525-4855

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50079963
DC
1041S0200X
School Social Worker
LC50079963
DC

Other

Enumeration date
01/01/2014
Last updated
01/01/2014
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