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ROBIN RAE LUCKADOO CHADDERDON LPC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1417613316

Individual Registrant:
 ROBIN RAE LUCKADOO CHADDERDON LPC
Gender: F
Sole Proprietor

Location and contact information for practice:
11066 BATTLE CREEK HWY  BELLEVUE, MI 49021-9756 US
Tel: 517-667-2387  Fax: --

Contact information for business:
11066 BATTLE CREEK HWY  BELLEVUE, MI 49021-9756 US
Tel: 517-667-2387  Fax: --

Registration Information:
NPI: 1417613316
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
MI6401222283

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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