# DEZAREE' LA' DESTINY LUSK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447754148
- **Gender:** F
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 62594 | TX | Yes |
| 1744P3200X | Prosthetics Case Management | 1449535 | TX | — |

## Other

- **Enumeration date:** 03/19/2018
- **Last updated:** 05/08/2021