RAVEN DENISE LUCKETT

WASHINGTON, DC
NPI1942903406
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: DC  CACII1082)
Enumeration Date2023-03-23
Last Update Date2023-03-23
Business Address
-- RAVEN DENISE LUCKETT
3029 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20032-2506
Phone number: 202-232-6100
Mailing Address
-- RAVEN DENISE LUCKETT
3029 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20032-2506
Phone number: 202-232-6100