Individual
MRS. JENNIFER LYNN LUTOSTANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
27041 SCHOENHERR RD, WARREN, MI 48088-6674
(586) 759-9100
Mailing address
2041 N MAIN ST APT 1, ROYAL OAK, MI 48073-4147
(248) 597-3793
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802073734
MI
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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