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General NPI Number Information
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NPI Number | 1518158666
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Entity Type | Organization
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Legal Business Name | SUSAN M. DELLUTRI, LLC
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 1661 N WATER ST STE 413
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City | MILWAUKEE
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State | WI
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Zip | 53202-2086
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Country | US
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Telephone | 414-207-4107
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Fax |
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Provider Business Mailing Address
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Address Line | 1661 N WATER ST STE 413
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City | MILWAUKEE
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State | WI
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Zip | 53202-2086
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Country | US
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Telephone | 414-207-4107
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST/OWNER
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Name | SUSAN M. DELLUTRI
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Credential | LCSW, LMFT, CSAC
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Telephone | 414-349-0340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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