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1538235312
JOHN ROMAN LUTZ
WOODSTOCK, GA
NPI
1538235312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA PSY001726)
Enumeration Date
2006-11-25
Last Update Date
2007-08-15
Business Address
-- JOHN ROMAN LUTZ Ph.D.
240 CREEKSTONE RDG
WOODSTOCK, GA 30188-3732
Phone number: 770-592-9065
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Mailing Address
-- JOHN ROMAN LUTZ Ph.D.
190 IRONWOOD RD
CANTON, GA 30114-6118
Phone number: 770-704-7510
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