Individual
LIAH JUTILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
132395-121
WI
1041C0700X
Clinical Social Worker
11098-123
WI
1041C0700X
Clinical Social Worker
Primary
LC22268
ME
Other
Enumeration date
08/09/2021
Last updated
11/14/2024
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