Individual
MARTHA ISOBEL LUCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
20 DICKENS SQ, TIMONIUM, MD 21093-2961
(732) 784-7107
Mailing address
20 DICKENS SQ, TIMONIUM, MD 21093-2961
(732) 784-7107
(443) 275-1806
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00353500
NJ
Other
Enumeration date
04/17/2007
Last updated
12/13/2012
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