Organization
AMANDA LUCAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA J LUCAS LCSW (OWNER)
(773) 263-4447
Entity
Organization
Contact information
Practice address
2114 W LYNDALE ST APT 1F, CHICAGO, IL 60647-3390
(773) 263-4447
Mailing address
2114 W LYNDALE ST APT 1F, CHICAGO, IL 60647-3390
(773) 263-4447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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