Individual
MRS. ANITA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
5555 ENRIGHT AVE, RIVERSIDE, OH 45431-2270
(937) 259-6620
Mailing address
5555 ENRIGHT AVE, RIVERSIDE, OH 45431-2270
(937) 259-6620
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
S0025982
OH
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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