Individual
ELIZABETH LUCKRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
316 WATER ST, SKOWHEGAN, ME 04976-1734
(207) 692-4590
(207) 634-5142
Mailing address
920 E POND RD, SMITHFIELD, ME 04978-3219
(207) 692-4590
(207) 634-5142
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
XL3456
ME
Other
Enumeration date
10/21/2008
Last updated
09/08/2010
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