Individual
MRS. BRITTANY LAUTZENHEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4579 PINE RIDGE PKWY, MIDDLEBURG, FL 32068-9124
(201) 317-5753
Mailing address
4579 PINE RIDGE PKWY, MIDDLEBURG, FL 32068-9124
(201) 317-5753
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NJ
1041C0700X
Clinical Social Worker
44SC06095000
NJ
1041C0700X
Clinical Social Worker
CW022242
PA
1041C0700X
Clinical Social Worker
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023701
—
NJ
Enumeration date
10/15/2015
Last updated
12/16/2024
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