Individual
SARA JANE LUTAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, MLADC
Contact information
Practice address
102 4TH ST, MANCHESTER, NH 03102-4540
(603) 782-3004
(603) 518-8977
Mailing address
155 W CLARKE ST APT 2, MANCHESTER, NH 03104-2448
(603) 562-5351
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1000
NH
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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