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1841386901
WILLIAM ROBERT LUCKER
HUNTINGTON, IN
NPI
1841386901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN C276)
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
Mr. WILLIAM ROBERT LUCKER CADAC IV
2860 NORTHPARK AVE
HUNTINGTON, IN 46750-9700
Phone number: 260-356-2876
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Mailing Address
Mr. WILLIAM ROBERT LUCKER CADAC IV
850 N HARRISON ST
WARSAW, IN 46580-3163
Phone number: 574-267-7169
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