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MRS. MARTHA HARRIS-LUKEN MS LSW CCDC111

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1629052865

Individual Registrant:
MRS. MARTHA  HARRIS-LUKEN MS LSW CCDC111
Gender: F

Location and contact information for practice:
1320 WOODMAN DR. STE 100 DAYTEN, OH 45432 US
Tel: 937-424-8816  Fax: 937-424-8656

Contact information for business:
1320 WOODMAN DR. STE 100 DAYTEN, OH 45432 US
Tel: 937-424-8816  Fax: 937-424-8656

Registration Information:
NPI: 1629052865
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
OH976195
X104100000XBehavioral Health & Social Service Providers
Social Worker
OHS0015182

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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