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Individual

JASMINE LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
13451 SE 36TH ST, BELLEVUE, WA 98006-1475
(425) 562-1337
(425) 562-1331
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LW61276712
WA
1041C0700X
Clinical Social Worker
Primary
LW61276712
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0614
NEIGHBORHOOD HEALTH
RI
05
1538441472
WA
05
ES01788
RI
01
SB870
BLUE CROSS
RI
Enumeration date
09/16/2011
Last updated
06/01/2023
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