Individual
DONNA J HUTZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
414 ALGONQUIN RD, HAMPTON, VA 23661-1605
(757) 722-9881
Mailing address
5342 MERGANSER CIR, GLOUCESTER, VA 23061-3648
(804) 694-7143
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006977
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904006977
LICENSE
VA
Enumeration date
03/06/2019
Last updated
03/06/2019
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