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Individual

LUCAS GOCKEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW LICSW

Contact information

Practice address
2312 S 6TH ST, MINNEAPOLIS, MN 55454-1336
(612) 581-2922
Mailing address
2312 S 6TH ST, MINNEAPOLIS, MN 55454-1336

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29047
MN

Other

Enumeration date
01/09/2023
Last updated
01/09/2023
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