Individual
ELIANNA LANTZ RICCIARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 FODEN RD, EAST, SUITE 100, SOUTH PORTLAND, ME 04106
(207) 874-1489
Mailing address
100 GANNETT DR STE C, SOUTH PORTLAND, ME 04106-5900
(207) 828-0361
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC15154
ME
Other
Enumeration date
12/04/2014
Last updated
12/08/2020
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