SUSAN J LUITEN

PEORIA, IL
NPI1912204066
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: IL  178.003803)
Enumeration Date2011-02-24
Last Update Date2011-02-24
Business Address
Mrs. SUSAN J LUITEN
7031 N PATTON LN
PEORIA, IL 61614-1918
Phone number: 309-369-9103
Mailing Address
Mrs. SUSAN J LUITEN
7031 N PATTON LN
PEORIA, IL 61614-1918
Phone number: