Individual
DEBORAH T LUCASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
(843) 792-6269
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW6655
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190166
—
SC
01
—
Q344723334
MEDICARE PTAN
SC
Enumeration date
10/12/2006
Last updated
05/15/2012
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