Individual
ALYSSA LYNNE HARDACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
64 LISBON ST STE 1, LEWISTON, ME 04240-7116
(207) 871-1200
(207) 871-1232
Mailing address
901 WASHINGTON AVE STE 100, PORTLAND, ME 04103-2842
(207) 871-1200
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC13729
ME
Other
Enumeration date
09/28/2012
Last updated
10/11/2018
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