Individual
EMILY LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
416 MANDARIN LN, ELIZABETHTOWN, PA 17022-7809
(717) 841-4922
Mailing address
416 MANDARIN LN, ELIZABETHTOWN, PA 17022-7809
(717) 841-4922
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW022891
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CW022891
STATE LICENSE
PA
Enumeration date
10/13/2022
Last updated
04/28/2023
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