TIMOTHY COREDON LUCAS

WILLMAR, MN
NPI1376602334
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  10148)
Enumeration Date2006-12-06
Last Update Date2007-07-08
Business Address
-- TIMOTHY COREDON LUCAS LICSW
1125 6TH STREET SE WOODLAND CENTERS
WILLMAR, MN 56201-4675
Phone number: 320-231-9148
Mailing Address
-- TIMOTHY COREDON LUCAS LICSW
172 LAKEVIEW DRIVE
SPICER, MN 56288
Phone number: 320-235-4613