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Jacqueline M. Hutter, LMSW

Social Worker in Melville, NY. Individual provider (NPI-1).

NPI number1316638042
StatusActive
Last updated in NPPESMay 15, 2023

Details

NPI
1316638042
Entity type
Individual (NPI-1)
Name
Ms. Jacqueline M. Hutter
Credential
LMSW
Sex
Female
Sole proprietor
Yes
Enumeration date
May 15, 2023
Certification date
May 11, 2023
Last updated
May 15, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker119441NYYes

Practice location

225 Broadhollow Rd Ste 402
Melville, NY 11747-4899

Phone 631-385-7780

Mailing address

11 1st Ave
East Islip, NY 11730-2008

Phone 631-339-1855

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