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Individual

MS. AMELIA M LUCKIE

Active
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Individual

MS. AMELIA M LUCKIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
041345850
IL
171M00000X
Case Manager/Care Coordinator
4203434
IL

Other

Enumeration date
07/07/2017
Last updated
07/21/2022
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