Individual
KALLIE LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
365 N MAIN ST, SMYRNA, DE 19977-1010
(302) 653-8589
Mailing address
PO BOX 276, TOWNSEND, DE 19734-0276
(484) 338-0082
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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