Individual
MRS. AUDREY ALCALA LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
3000 COOMBS FARM RD STE 102, MORGANTOWN, WV 26508-1190
(304) 777-0650
Mailing address
3000 COOMBS FARM RD STE 102, MORGANTOWN, WV 26508-1190
(304) 777-0650
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
BP00944325
WV
1041C0700X
Clinical Social Worker
Primary
DP00944325
WV
Other
Enumeration date
05/07/2019
Last updated
05/16/2019
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