Individual
MISTY L LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
904 E MAIN ST, NORRIS CITY, IL 62869-1118
(618) 378-3010
(618) 378-2308
Mailing address
904 E MAIN ST, NORRIS CITY, IL 62869-1118
(618) 378-3010
(618) 378-2308
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.011423
IL
Other
Enumeration date
03/12/2008
Last updated
01/24/2012
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