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Individual
MS. DESIREE D MUTCHERSON
Active
Individual
MS. DESIREE D MUTCHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC/SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5292
SC
235Z00000X
Speech-Language Pathologist
SA5247
FL
235Z00000X
Speech-Language Pathologist
SP-1568
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
681570796
—
FL
05
—
888523100
—
FL
Enumeration date
09/02/2006
Last updated
08/02/2016
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