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1255849634
ELMIRA NATISHSA LUCKEY
NORTH CHESTERFIELD, VA
NPI
1255849634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 0710103212)
Enumeration Date
2018-01-19
Last Update Date
2018-01-19
Business Address
ELMIRA NATISHSA LUCKEY
3117 NEWINGTON CT
NORTH CHESTERFIELD, VA 23224-5737
Phone number: 804-307-9249
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Mailing Address
ELMIRA NATISHSA LUCKEY
2217 E FRANKLIN ST
RICHMOND, VA 23223-7046
Phone number: 804-213-0249
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