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1376602334
TIMOTHY COREDON LUCAS
WILLMAR, MN
NPI
1376602334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 10148)
Enumeration Date
2006-12-06
Last Update Date
2007-07-08
Business Address
-- TIMOTHY COREDON LUCAS LICSW
1125 6TH STREET SE WOODLAND CENTERS
WILLMAR, MN 56201-4675
Phone number: 320-231-9148
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Mailing Address
-- TIMOTHY COREDON LUCAS LICSW
172 LAKEVIEW DRIVE
SPICER, MN 56288
Phone number: 320-235-4613
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