Individual
MR. BLAKE JOHN LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2925 LANDON RIDGE DR, NEW HILL, NC 27562-2756
(919) 593-5500
Mailing address
2925 LANDON RIDGE DR, NEW HILL, NC 27562-9305
(919) 593-5500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC05489300
NJ
1041C0700X
Clinical Social Worker
Primary
C007651
NC
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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