Individual
DONNA M LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
604 E 25TH ST, CHEYENNE, WY 82001-3133
(307) 637-3953
(307) 638-6805
Mailing address
604 E 25TH ST, CHEYENNE, WY 82001-3133
(307) 637-3953
(307) 638-6805
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
695
WY
251C00000X
Developmentally Disabled Services Day Training Agency
695
WY
Other
Enumeration date
04/20/2009
Last updated
05/18/2015
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