Individual
MS. JILL MUTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
584 MILILANI PL APT B, KIHEI, HI 96753-6313
(512) 417-8599
Mailing address
584 MILILANI PL APT B, KIHEI, HI 96753-6313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18996
TX
Other
Enumeration date
03/04/2008
Last updated
04/25/2018
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