Individual
DEZAREE' LA' DESTINY LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8950 WESTPARK DR STE 118, HOUSTON, TX 77063-5502
(469) 499-6200
Mailing address
905 MACAW WAY, DESOTO, TX 75115-7210
(469) 499-6200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
62594
TX
1744P3200X
Prosthetics Case Management
1449535
TX
Other
Enumeration date
03/19/2018
Last updated
05/08/2021
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