Individual
IAN ANDREW LJUTICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, MSW
Contact information
Practice address
44 THORNTON ST, NEWTON, MA 02458-1532
(617) 244-2700
Mailing address
44 THORNTON ST, NEWTON, MA 02458-1532
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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