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Individual

CATHERINE JANE LUITJENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LP

Contact information

Practice address
11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 55433
(763) 767-3350
(763) 767-0912
Mailing address
1880 AUSTIN ROAD, SUITE 2, OWATONNA, MN 55060
(507) 446-8123
(507) 446-0600

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3794
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44455LU
BCBSM
MN
05
789522400
MN
Enumeration date
04/03/2006
Last updated
05/07/2019
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