Individual
MARLENE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
619 N MAIN ST, JENNINGS, LA 70546-5347
(337) 824-4300
Mailing address
105 KINCAID CT, LAFAYETTE, LA 70508-8029
(337) 344-9056
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2786
LA
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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