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Individual

MRS. LEAH G LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, PIP

Contact information

Practice address
9064 HIGHWAY 431 S, OWENS CROSS ROADS, AL 35763-8932
(256) 725-3722
(208) 498-4045
Mailing address
PO BOX 305, OWENS CROSS ROADS, AL 35763-0305
(256) 725-3722
(208) 498-4045

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
0863-2142C
AL
1041C0700X
Clinical Social Worker
Primary
0863-2142C
AL

Other

Enumeration date
08/12/2008
Last updated
01/24/2012
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