Individual
MRS. HEATHER HUTCHESON-SOUFAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
39 OLIVIA WAY, JACKSON, NJ 08527-4269
(732) 928-4842
Mailing address
39 OLIVIA WAY, JACKSON, NJ 08527-4269
(732) 928-4842
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05178600
NJ
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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