Individual
MRS. JANE ELLEN HUTCHINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
290 BRANDYWINE BLVD, FAYETTEVILLE, GA 30214-1560
(770) 460-0165
Mailing address
120 HIDDEN LAKE DR, FAYETTEVILLE, GA 30215-8138
(330) 351-3458
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007909
GA
235Z00000X
Speech-Language Pathologist
SP10446
OH
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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