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1164988382
LUCAS DAVID MCNEIL GOMEZ
LAKEWOOD, WA
NPI
1164988382
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-02-12
Last Update Date
2019-02-12
Business Address
LUCAS DAVID MCNEIL GOMEZ
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-581-7020
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Mailing Address
LUCAS DAVID MCNEIL GOMEZ
1115 S 45TH ST
TACOMA, WA 98418-3712
Phone number: 253-495-1497
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