Individual
MS. MARY D HUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T., N.C.T.M.
Contact information
Practice address
825 REGISTRY TER NW, KENNESAW, GA 30152-2855
(770) 429-0208
(404) 745-0707
Mailing address
825 REGISTRY TER NW, KENNESAW, GA 30152-2855
(770) 429-0208
(404) 745-0707
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT001419
GA
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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