Individual
MRS. MARJORIE E DE LUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP, CADC
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30045-8444
(770) 339-5000
(770) 822-1698
Mailing address
6271 SATURN DR, FLOWERY BRANCH, GA 30542-3988
(770) 573-7794
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IL
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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