LUCAS MICHAEL DAVIS

CASPER, WY
NPI1154057602
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2022-07-27
Last Update Date2022-07-27
Business Address
LUCAS MICHAEL DAVIS PCSW
1440 WILKINS CIR
CASPER, WY 82601-1336
Phone number: 307-237-9583
Mailing Address
LUCAS MICHAEL DAVIS PCSW
1440 WILKINS CIR
CASPER, WY 82601-1336
Phone number: 307-237-9583
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