Delucia, Kathleen Mary

Delucia, Kathleen Mary is an sole proprietor health care provider with primary practice located at 3574 Us Highway 1 S Ste 101-104 , St Augustine FL 32086-6466. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Delucia, Kathleen Mary can be contacted via phone (904) 217-7161.

Contact Information

Primary practice address
3574 Us Highway 1 S Ste 101-104 St Augustine FL 32086-6466
Phone: (904) 217-7161
Fax: (904) 217-4075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 5478 Florida

Profile Details

NPI number 1013404946
LBN Legal business name Delucia, Kathleen Mary
Credentials CAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2018
Last updated Apr 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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