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Individual
LUCAS BLAIR
Active
Individual
LUCAS BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW, LICDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162201
OH
104100000X
Social Worker
S.1802360
OH
1041C0700X
Clinical Social Worker
Primary
I.2304670
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0293846
—
OH
Enumeration date
09/17/2013
Last updated
12/12/2023
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