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Carol A Lucas, LCSW

Social Worker, Clinical in Garden City, NY. Individual provider (NPI-1).

NPI number1982811485
StatusActive
Last updated in NPPESJul 18, 2013

Details

NPI
1982811485
Entity type
Individual (NPI-1)
Name
Carol A Lucas
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
May 16, 2007
Last updated
Jul 18, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical066727-1NYYes

Practice location

1 South Ave
University Center Room 310
Garden City, NY 11530-4213

Phone 631-774-8653 · Fax 516-877-3139

Mailing address

144 Country Lake Ct
West Babylon, NY 11704-5094

Phone 631-774-8653 · Fax 516-877-3139

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