Individual
ELIZABETH LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(717) 318-4567
Mailing address
708 BROADWAY STE 107, TACOMA, WA 98402-3763
(717) 318-4567
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60697237
WA
1041C0700X
Clinical Social Worker
CW019215
PA
1041C0700X
Clinical Social Worker
Primary
LW60802499
WA
Other
Enumeration date
10/17/2016
Last updated
04/09/2021
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