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JACQUELINE LUCAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1683 ROUTE 88 W, BRICK, NJ 08724-3050
(732) 840-5266
Mailing address
95 JOAN CT, JACKSON, NJ 08527-2365
(732) 901-0164

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05348400
NJ

Other

Enumeration date
03/07/2008
Last updated
03/12/2008
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