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1154057602
LUCAS MICHAEL DAVIS
CASPER, WY
NPI
1154057602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-07-27
Last Update Date
2022-07-27
Business Address
LUCAS MICHAEL DAVIS PCSW
1440 WILKINS CIR
CASPER, WY 82601-1336
Phone number: 307-237-9583
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Mailing Address
LUCAS MICHAEL DAVIS PCSW
1440 WILKINS CIR
CASPER, WY 82601-1336
Phone number: 307-237-9583
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