THEODORE LUCKEY

LOUISVILLE, KY
NPI1437346731
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-10-01
Last Update Date2007-10-03
Business Address
-- THEODORE LUCKEY
1935 BLUEGRASS AVE
LOUISVILLE, KY 40215-1145
Phone number: 502-366-0705
Mailing Address
-- THEODORE LUCKEY
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number: 502-589-1100
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