Individual
MARY HUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CIT
Contact information
Practice address
766 HARKRIDER ST, CONWAY, AR 72032-4401
(501) 697-6631
Mailing address
512 S 16TH ST, FORT SMITH, AR 72901-4628
(479) 785-4083
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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