Individual
SHANNON RAE LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
115 5TH AVE N, HURLEY, WI 54534-1208
(153) 291-2887
Mailing address
15735 W US HIGHWAY 63, HAYWARD, WI 54843-6475
(715) 934-0710
(715) 598-4881
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10176
WI
1041C0700X
Clinical Social Worker
6801090552
MI
Other
Enumeration date
12/21/2008
Last updated
11/01/2023
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