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Individual
MR. MICHAEL DUTKO
Active
Individual
MR. MICHAEL DUTKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC,LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000844
CT
101YP2500X
Professional Counselor
Primary
002151
CT
Other
Enumeration date
09/30/2010
Last updated
04/12/2017
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