Individual
ELLYN KUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 BERTHOLET BLVD STE 301, VALPARAISO, IN 46383-7959
(219) 477-9239
Mailing address
2801 BERTHOLET BLVD STE 301, VALPARAISO, IN 46383-7959
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34009132A
IN
Other
Enumeration date
08/23/2021
Last updated
11/07/2022
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