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Individual

ANNAMIEKA LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 S 1000 W, TOOELE, UT 84074-4010
(888) 949-4864
Mailing address
3737 W 4100 S, WEST VALLEY CITY, UT 84120-5543

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
14250196-3904
UT

Other

Enumeration date
10/02/2024
Last updated
11/17/2025
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