Most Relevant Information
Provider Data
| NPI Number: | 1003297466 |
| Provider Name: | COLLEEN ANN LUTCHKO LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | CW000110L |
Most Important Dates
| Enumeration Date: | 06/11/2015 |
| Last Updated: | 02/19/2020 |
Provider Practice Location
1111 E END BLVD
WILKES BARRE
PA
187110030
Practice Location Phone/Fax
| Phone: | 5708243521 |
| Fax: |
Provider Mailing Location
1111 E END BLVD
WILKES BARRE
PA
187110030
Provider Mailing Phone/Fax
| Phone: | 5708243521 |
| Fax: |