Individual
MR. BENTON LUTZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
EDS LPC
Contact information
Practice address
811 1/2 NORTH ST, BEAUFORT, SC 29902
(843) 986-0569
(843) 986-0560
Mailing address
PO BOX 396, BEAUFORT, SC 29901
(843) 986-0569
(843) 986-0560
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2447
SC
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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