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Susanna Utz
NPI 1023255270 · on the registry since 2009
Practice
- Address
- 118 College Dr # 10035
Hattiesburg, MS 39406 - Phone
- (601) 266-5223
- Organisation at this address
- Usm Dubard School
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-01-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi