Individual
MS. HAZEL ANN HUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.A.C.
Contact information
Practice address
118 BROADWAY, SUITE 517, FARGO, ND 58102
(701) 476-0497
(701) 298-7811
Mailing address
118 BROADWAY, SUITE 517, FARGO, ND 58102
(701) 476-0497
(701) 298-7811
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1058
ND
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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