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NPI Profile for CANDACE LUCAS in STONE MOUNTAIN, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Recreation Therapist |
225800000X | |||
Social Worker |
104100000X |
| NPI # | 1194378364 |
|
| Status | Active | |
| Credentials | BS | |
| Entity | Individual | |
| Enumeration date | 07/17/2019 | |
| Last updated | 07/17/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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CANDACE LUCAS
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CANDACE LUCAS, BS