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Individual

BENJAMIN C LUCAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BA, MA

Contact information

Practice address
904 7TH AVE, OLYMPIA, WA 98501
(360) 207-1809
Mailing address
904 7TH AVE, OLYMPIA, WA 98501
(360) 207-1809

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MC60787919
WA

Other

Enumeration date
01/11/2016
Last updated
07/21/2022
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