Individual
MR. IAN LUCASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
6279 FRANK AVE NW, NORTH CANTON, OH 44720-7227
(330) 305-1668
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1700613
—
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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