Individual
CHRISTINE LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10548 CENTRAL AVE APT D3, CHICAGO RIDGE, IL 60415-2070
(708) 495-3397
Mailing address
10548 CENTRAL AVE APT D3, CHICAGO RIDGE, IL 60415-2070
(708) 495-3397
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/20/2021
Last updated
03/20/2021
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