Individual
MRS. SUSANNA UTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 COLLEGE DR # 10035, HATTIESBURG, MS 39406-0002
(601) 266-5223
Mailing address
KAY JAMES DR, HATTIESBURG, MS 39406-0001
(601) 266-5223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2497
MS
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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