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Individual

MRS. CYNTHIA LYNN HUTTLESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.,CCC

Contact information

Practice address
116 SUMMER SQUALL LN, AIKEN, SC 29803-1024
(803) 643-7325
(803) 643-7325
Mailing address
116 SUMMER SQUALL LN, AIKEN, SC 29803-1024
(803) 643-7325
(803) 643-7325

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
001986
GA
235Z00000X
Speech-Language Pathologist
Primary
4055
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000839913D
GA
Enumeration date
11/01/2006
Last updated
01/08/2016
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