Organization
MARK B LUZADER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B LUZADER LCSW (OWNER)
(812) 491-7739
Entity
Organization
Contact information
Practice address
1508 TUPMAN RD, EVANSVILLE, IN 47720-3329
(812) 459-9365
(812) 492-6498
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(128) 492-6498
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
12/09/2022
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