Individual
KYLIE MORGAN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1008 W 35TH ST, DAVENPORT, IA 52806-5827
(563) 362-0060
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
082389
IA
235Z00000X
Speech-Language Pathologist
Primary
1463013629
IL
Other
Enumeration date
09/08/2020
Last updated
02/29/2024
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