Individual
SANDRA CHARLOTTE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CFY-SLP
Contact information
Practice address
1114 W PIERCE ST, YAKIMA, WA 98902-5823
(509) 573-2221
Mailing address
104 N 4TH AVE, YAKIMA, WA 98902-2636
(509) 573-7000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
543749F
WA
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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