Individual
LESLIE G LUFKIN
Active
Individual
LESLIE G LUFKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC1717
ME
1041C0700X
Clinical Social Worker
Primary
LC5493
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033968
BLUE CROSS AND BLUE SHIEL
ME
Enumeration date
05/21/2007
Last updated
07/24/2016
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