DEOTILA LUCAS TAKULYABWANI

LACEY, WA
NPI1760286793
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  61582811)
Enumeration Date2025-04-01
Last Update Date2025-04-01
Business Address
DEOTILA LUCAS TAKULYABWANI
4570 AVERY LN SE
LACEY, WA 98503-5608
Phone number: 360-464-7935
Mailing Address
DEOTILA LUCAS TAKULYABWANI
26616 WEBSTER RD E
GRAHAM, WA 98338-7318
Phone number: 360-402-5946