Lucas-Gilmore, Kathleen Mary

Lucas-Gilmore, Kathleen Mary is an individual health care provider with primary practice located at 136 S 7Th St , Council Bluffs IA 51501-4133. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lucas-Gilmore, Kathleen Mary can be contacted via phone (712) 325-1136.

Contact Information

Primary practice address
136 S 7Th St Council Bluffs IA 51501-4133
Phone: (712) 325-1136
Fax: (712) 325-1152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 00878 Iowa

Profile Details

NPI number 1669445516
LBN Legal business name Lucas-Gilmore, Kathleen Mary
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669445516 NPPES
Iowa Other 23549 WELLMARK
Iowa Other 35553 WELLMARK

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