Individual
EILEEN C. LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,LCSW,LCADC
Contact information
Practice address
65 MOUNTAIN BLVD EXT, WARREN, NJ 07059-2632
(732) 356-5665
(732) 356-0507
Mailing address
6 QUILL PEN WAY, WARREN, NJ 07059-5518
(908) 647-0479
(908) 647-2592
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00172900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SC00172900
LIC. CLINIC. SOC. WORKER
NJ
01
—
NR32823
REGISTERED NURSE
NJ
Enumeration date
06/07/2007
Last updated
03/07/2023
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