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Organization
RECOVERED SOUL
Active
Organization
RECOVERED SOUL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMILLE LUCAS LCSW (THERAPIST)
(469) 900-7964
Entity
Organization
Contact information
Practice address
5401 NAAMAN FOREST BLVD APT 426, GARLAND, TX 75044-5615
(469) 900-7964
Mailing address
5401 NAAMAN FOREST BLVD APT 426, GARLAND, TX 75044-5615
(469) 900-7964
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
10/11/2023
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