Provider Information for 1306213095
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ALAN KUTNER LMSW
Sex: Male
NPI: 1306213095
Last Updated: 2018-07-19
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1306213095 | ||||||||
| Enumeration Date | 2015-08-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 8114 SANDPIPER CIR NOTTINGHAM, MD 21236-4934 United States Phone: 443-485-5473 | Fax: | ||||||||
| Primary Practice Address | 8114 SANDPIPER CIR STE 205 NOTTINGHAM, MD 21236 United States Phone: 443-485-4573 | Fax: | ||||||||
| Secondary Practice Address(es) | 1623 KINGS HWY 8114 SANDPIPER CIR 17 WARREN RD STE 20B | ||||||||
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