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1386662294
LARRY W LUTZ
MOUNTAIN HOME, ID
NPI
1386662294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LCPC-4128)
Enumeration Date
2006-07-18
Last Update Date
2024-02-15
Business Address
LARRY W LUTZ MS
210 N 3RD E
MOUNTAIN HOME, ID 83647-2733
Phone number: 208-284-0959
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Mailing Address
LARRY W LUTZ MS
210 N 3RD E
MOUNTAIN HOME, ID 83647-2733
Phone number: 208-284-0959
Copy
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