Individual
RAEANNAH LOGAN HUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
115 ACADEMY ST STE 102, CANTON, GA 30114-3008
(404) 444-1521
Mailing address
PO BOX 1901, ROSWELL, GA 30077-1901
(404) 444-1521
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP013814
GA
Other
Enumeration date
09/04/2024
Last updated
08/25/2025
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