Individual
JILL J HUTZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 STAFFORD AVE, STAFFORD, VA 22554-7246
(540) 658-6300
Mailing address
303 KING ST, FREDERICKSBURG, VA 22405-2337
(540) 287-1114
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1818
—
VA
Enumeration date
04/30/2019
Last updated
04/30/2019
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