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Individual

MRS. DAWN LUCOUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW-S

Contact information

Practice address
116 W PIKE ST, LAURA, OH 45337-9746
(937) 371-2746
Mailing address
116 W PIKE ST, LAURA, OH 45337-9746
(937) 371-2746

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0010204
OH

Other

Enumeration date
01/27/2021
Last updated
01/28/2021
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