Individual
MR. CHARLES LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
806 N SAMUEL MOORE PKWY, MOORESVILLE, IN 46158-1467
(317) 607-3741
Mailing address
806 N SAMUEL MOORE PKWY, MOORESVILLE, IN 46158-1467
(317) 607-3741
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007341A
IN
Other
Enumeration date
08/26/2015
Last updated
04/20/2021
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