Individual
LUCERO RAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1354 E CHOCOLATE AVE, HERSHEY, PA 17033-1116
(717) 216-0209
Mailing address
200 N 7TH ST, LEBANON, PA 17046-5040
(717) 272-5464
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
CW023854
PA
Other
Enumeration date
08/16/2019
Last updated
10/12/2023
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