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1699313536
AVA T LUCKY
CHARDON, OH
NPI
1699313536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH S.0028788)
Enumeration Date
2019-12-11
Last Update Date
2019-12-11
Business Address
AVA T LUCKY LSW
602 SOUTH ST STE D-1
CHARDON, OH 44024-1499
Phone number: 440-285-3537
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Mailing Address
AVA T LUCKY LSW
6753 STATE RD
PARMA, OH 44134-4517
Phone number:
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