MR. Douglas Thomas Kutzer, LSW

NPI #1932962214 in Rockford, Illinois

Provider Information

NPI Number: 1932962214
Entity Type: Individual
Name: MR. Douglas Thomas Kutzer, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Jan 31, 2024
Last Updated: Feb 1, 2024

Practice Location

Address: 1200 W STATE ST
City: Rockford
State: Illinois
ZIP Code: 61102-2112
Phone: (815) 490-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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