Individual
KIMBERLY HUTCHINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9670 FOREST LN APT 1109, DALLAS, TX 75243-8639
(972) 598-5306
Mailing address
9670 FOREST LN APT 1109, DALLAS, TX 75243-8639
(972) 598-5306
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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