CHRISTINA LUCKE-SHIVELY

LAWRENCE, KS
NPI1093130262
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS  656)
Enumeration Date2014-02-25
Last Update Date2014-02-25
Business Address
-- CHRISTINA LUCKE-SHIVELY LAC
3015 W 31ST ST
LAWRENCE, KS 66047-3042
Phone number: 785-843-9262
Mailing Address
-- CHRISTINA LUCKE-SHIVELY LAC
1106 ELM ST
BALDWIN CITY, KS 66006-3038
Phone number: 785-760-2671
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