Individual
MRS. KORY E LUECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1407 SAINT ANDREW ST STE 100, LA CROSSE, WI 54603-2378
(608) 372-3109
Mailing address
1811 SUPERIOR AVE, TOMAH, WI 54660-2745
(608) 633-2403
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
9567-120
WI
Other
Enumeration date
05/13/2011
Last updated
05/13/2011
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