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1740021583
JACQUELINE LUCAS
BELOIT, WI
NPI
1740021583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 20582)
Enumeration Date
2024-06-05
Last Update Date
2024-06-05
Business Address
JACQUELINE LUCAS
2240 PRAIRIE AVE
BELOIT, WI 53511-2648
Phone number: 608-361-7200
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Mailing Address
JACQUELINE LUCAS
9009 CAROTHERS PKWY STE C1
FRANKLIN, TN 37067-1704
Phone number: 615-538-7739
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