Ontonio Jackson-Lucas
Ontonio Jackson-Lucas is a Clinical Social Worker in Glenwood, Illinois. Licensed in Illinois. Registered with an NPI since 2023.
- Licensed in
- IL
- In the registry since
- 2023
Practice location Address checks out
626 E Glenwood Dyer RdGlenwood, IL 60425-2227
Phone: (708) 983-9044
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 150.111442 (IL) |
|---|
Record details
| NPI number | 1538946702 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 12, 2023 |
| Last updated in NPPES | September 12, 2023 |
| Certification date | September 12, 2023 |
| Mailing address | 626 E Glenwood Dyer Rd, Glenwood, IL 60425-2227 |
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