Individual
KRYSTAL LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MSW, CAPSW
Contact information
Practice address
111 W FULTON ST, EDGERTON, WI 53534-1876
(608) 561-6614
Mailing address
11101 N SHERMAN RD, EDGERTON, WI 53534-9002
(608) 884-1609
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
132295-121
WI
1041C0700X
Clinical Social Worker
Primary
12159-123
WI
Other
Enumeration date
01/12/2024
Last updated
05/07/2025
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