Individual
ALICIA LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 FABER PLACE DR, CHARLESTON, SC 29405-8585
(312) 476-9064
(312) 900-8230
Mailing address
PO BOX 752123, HOUSTON, TX 77275-2123
(312) 476-9064
(312) 900-8230
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7870
SC
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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