Stephanie Lynn Kutzen PH.D., LCSW

NPI 1053622522 - Social Worker - 104100000X

NPI Details
NPI 1053622522
Gender Female
Enumeration Date 06/29/2010
Last Updated 06/29/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1925 LAKE AVENUE
SUITE 305
WILMETTE IL, 60091, US
Phone (847) 256-1111
Fax (847) 251-3081
Business Location
1925 LAKE AVENUE
SUITE 305
WILMETTE IL, 60091, US
Phone (847) 256-1111
Fax (847) 251-3081
Toxanomy
Taxonomy Code 104100000X
License State Illinois
License Number 149.003367
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According to our database, Dr. Stephanie Lynn Kutzen PH.D., LCSW NPI is 1053622522, taxonomy code is 104100000X and license number is 149.003367, license state is located at Illinois. Stephanie Lynn Kutzen PH.D., LCSW physically located at 1925 Lake Avenue, Wilmette IL, 60091. NPI Number Stephanie Lynn Kutzen PH.D., LCSW has the Individual type.

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1053622522 NPI number is provided on an as is basis without warranty of any kind. 1053622522 is maintained by the National Plan & Provider Enumeration System. The contents of Stephanie Lynn Kutzen PH.D., LCSW are for informational purposes only.