Individual
JONATHAN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ASW
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 215-0960
Mailing address
11807 S BUDLONG AVE, LOS ANGELES, CA 90044-1111
(310) 908-7389
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
93111
CA
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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