George M Mariutza LLMSW CADCM

NPI 1306096953 - Counselor - 101YA0400X

NPI Details
NPI 1306096953
Gender Male
Enumeration Date 09/19/2008
Last Updated 07/01/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
171 DAWSON ST
SANDUSKY MI, 48471-1062, US
Phone (810) 648-4098
Fax
Business Location
10 PETERBORO ST
DETROIT MI, 48201-2722, US
Phone (313) 833-4627
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Michigan
License Number 1-04857
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According to our database, George M Mariutza LLMSW CADCM NPI is 1306096953, taxonomy code is 101YA0400X and license number is 1-04857, license state is located at Michigan. George M Mariutza LLMSW CADCM physically located at 171 Dawson St, Sandusky MI, 48471-1062. NPI Number George M Mariutza LLMSW CADCM has the Individual type.

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1306096953 NPI number is provided on an as is basis without warranty of any kind. 1306096953 is maintained by the National Plan & Provider Enumeration System. The contents of George M Mariutza LLMSW CADCM are for informational purposes only.