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Individual
MR. THOMAS MICHAEL LUCZKOW
Active
Individual
MR. THOMAS MICHAEL LUCZKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW012063
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
417439
HIGHMARK BCBS
PA
Enumeration date
01/08/2007
Last updated
07/08/2007
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