Individual
MRS. LISA A RUTOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
269 N MICHIGAN AVE, BEULAH, MI 49617-9299
(231) 794-1447
Mailing address
8674 POTTER RD, BEAR LAKE, MI 49614-9726
(616) 935-2033
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301009952
MI
Other
Enumeration date
09/21/2006
Last updated
02/01/2022
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