Individual
MR. C THOMAS KUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4879 E KINGS CANYON RD, FRESNO, CA 93727-3811
(559) 255-8395
(559) 452-8194
Mailing address
4879 E KINGS CANYON RD, FRESNO, CA 93727-3811
(559) 255-8395
(559) 452-8194
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS-4209
CA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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