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1215794334
KEITH LUCAS
MADISON, WI
NPI
1215794334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-03-05
Last Update Date
2024-03-05
Business Address
KEITH LUCAS
25 KESSEL CT
MADISON, WI 53711-6227
Phone number: 608-280-2700
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Mailing Address
KEITH LUCAS
25 KESSEL CT STE 105
MADISON, WI 53711-6227
Phone number: 608-280-2700
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