| Wendy Lucker Llc | |
|
1135 Pasadena Ave S Ste 300 South Pasadena FL 33707-2856 | |
| (541) 350-7041 | |
| Not Available |
| Full Name | Wendy Lucker Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1135 Pasadena Ave S Ste 300, South Pasadena, Florida |
| Authorized Official Name and Position | Wendy Lucker (OWNER) |
| Authorized Official Contact | 5413507041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy Lucker Llc 1135 Pasadena Ave S Ste 300 South Pasadena FL 33707-2856 Ph: () - | Wendy Lucker Llc 1135 Pasadena Ave S Ste 300 South Pasadena FL 33707-2856 Ph: (541) 350-7041 |
| NPI Number | 1801554977 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 12/06/2021 |
| Certification Date | 12/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801554977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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