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1306940663
CONNI JANI LUTES
PORTAGE, MI
NPI
1306940663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI W 6801046168)
Enumeration Date
2006-09-08
Last Update Date
2007-07-08
Business Address
Ms. CONNI JANI LUTES MSW
8036 MOORSBRIDGE ROAD SUITE #2
PORTAGE, MI 49024-4417
Phone number: 269-327-1438
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Mailing Address
Ms. CONNI JANI LUTES MSW
PO BOX 2585
PORTAGE, MI 49081-2585
Phone number: 269-381-0150
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