Individual
CHERYL LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
18992 WESTBROOK ST, DETROIT, MI 48219-2449
(313) 534-1572
Mailing address
18992 WESTBROOK ST, DETROIT, MI 48219-2449
(313) 534-1572
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801088835
MI
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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