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1942903406
RAVEN DENISE LUCKETT
WASHINGTON, DC
NPI
1942903406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: DC CACII1082)
Enumeration Date
2023-03-23
Last Update Date
2023-03-23
Business Address
RAVEN DENISE LUCKETT
3029 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20032-2506
Phone number: 202-232-6100
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Mailing Address
RAVEN DENISE LUCKETT
3029 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20032-2506
Phone number: 202-232-6100
Copy
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