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1477837607
LUCAS E. MOORE
MADISON, WI
NPI
1477837607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 8309-123)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2011-10-06
Last Update Date
2023-12-27
Business Address
LUCAS E. MOORE
119 MARTIN LUTHER KING JR BLVD STE LL-22
MADISON, WI 53703-3355
Phone number: 608-473-3575
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Mailing Address
LUCAS E. MOORE
119 MARTIN LUTHER KING JR BLVD STE LL-22
MADISON, WI 53703-3355
Phone number: 608-473-3575
Copy
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