Individual
MR. KEVIN J LUPTOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
6379 DIXIE HWY, BRIDGEPORT, MI 48722
(989) 777-8570
Mailing address
4591 CLUNIE STREET, SAGINAW, MI 48638
(989) 737-1334
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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