Individual
CAROL A LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 SOUTH AVE, UNIVERSITY CENTER ROOM 310, GARDEN CITY, NY 11530-4213
(631) 774-8653
(516) 877-3139
Mailing address
144 COUNTRY LAKE CT, WEST BABYLON, NY 11704-5094
(631) 774-8653
(516) 877-3139
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
066727-1
NY
Other
Enumeration date
05/16/2007
Last updated
07/18/2013
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