Individual
LUCAS KRICKENBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
831 DILLON DR, RICHMOND, IN 47374-8048
(765) 983-8000
(765) 935-3869
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
(812) 339-8109
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009159A
IN
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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