| NPI | 1255313177 |
|---|---|
| Professional Name | OWEN LEE CLUTTERBUCK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I-00000-131-OH) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH I-00000131-OH) |
| 106H00000X Marriage & Family Therapist (Licence: OH I-00000131-OH) | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2016-02-07 |