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1518318690
SCOTT LUTOSTANSKI
PARK RIDGE, IL
NPI
1518318690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178.011900)
Enumeration Date
2016-06-29
Last Update Date
2016-06-29
Business Address
-- SCOTT LUTOSTANSKI
1440 RENAISSANCE DR SUITE 440
PARK RIDGE, IL 60068-1356
Phone number: 847-363-6574
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Mailing Address
-- SCOTT LUTOSTANSKI
2144 W SHAKESPEARE AVE APT G
CHICAGO, IL 60647-6146
Phone number:
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