Individual
MRS. BOBBIE DIANE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12455 E 100TH ST N STE 350, OWASSO, OK 74055-4675
(918) 274-5510
(918) 403-6312
Mailing address
12455 E 100TH ST N STE 350, OWASSO, OK 74055-4675
(918) 274-5510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1618
OK
Other
Enumeration date
05/29/2013
Last updated
12/14/2020
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