Individual
PAUL ANDREW GUTOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
939 GALENA SQUARE DR, GALENA, IL 61036-1355
(815) 777-1300
(815) 777-1308
Mailing address
2138 CUMBERLAND ST, ROCKFORD, IL 61103-4146
(815) 978-0979
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13846
IL
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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