Individual
LISA KUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
45 E LOUCKS ST, SUITE 209, SHERIDAN, WY 82801-6339
(307) 674-5123
Mailing address
PO BOX 1035, SHERIDAN, WY 82801-1035
(307) 674-5123
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-153
WY
Other
Enumeration date
09/20/2010
Last updated
09/21/2010
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