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Individual

MR. STACY DAVID LUTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, MDIV.

Contact information

Practice address
150 NICKERSON ST, SUITE 203, SEATTLE, WA 98109-1634
(206) 369-2185
Mailing address
150 NICKERSON ST, SUITE 203, SEATTLE, WA 98109-1634
(206) 369-2185

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00002459
WA

Other

Enumeration date
05/15/2007
Last updated
07/08/2007
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