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Individual

COREY J LUGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
51 CHILDRENS WAY, ENTERPRISE, FL 32725-8135
(386) 668-4774
Mailing address
51 CHILDRENS WAY, ENTERPRISE, FL 32725-8135

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1041C0700X
Clinical Social Worker
Primary
ISW9243
FL

Other

Enumeration date
03/02/2012
Last updated
09/14/2018
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