Individual
MRS. ELLEN J. LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
2031 E CALUMET ST., APPLETON, WI 54915-4742
(920) 809-6766
(920) 358-7535
Mailing address
2406 E BONA AVE, APPLETON, WI 54915-3657
(920) 809-6766
(920) 358-7535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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