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1588917942
LARICA LUCKETT
POMPANO BEACH, FL
NPI
1588917942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2012-10-23
Last Update Date
2012-10-23
Business Address
-- LARICA LUCKETT
2708 NE 14TH ST APT 5
POMPANO BEACH, FL 33062-3564
Phone number: 888-880-9270
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Mailing Address
-- LARICA LUCKETT
958 FOUNDERS DR SW
ATLANTA, GA 30310-5422
Phone number:
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