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1912046640
LUKOSE JACOB
LAKE BUTLER, FL
NPI
1912046640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL xxxxxx)
Enumeration Date
2007-02-06
Last Update Date
2014-11-21
Business Address
Mr. LUKOSE JACOB LCSW
7765 S COUNTY ROAD 231
LAKE BUTLER, FL 32054-5721
Phone number: 386-496-6000
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Mailing Address
Mr. LUKOSE JACOB LCSW
7765 S CR 251 RMC-DEPT. OF CORRECTIONS,
LAKE BUTLER, FL 32504
Phone number: 386-496-6000
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