Provider Demographics
NPI:1689819054
Name:HUTCHISON, ANNETTE BRUCOLI (LISW-S)
Entity Type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:BRUCOLI
Last Name:HUTCHISON
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8845 YOUNGSTOWN PITTSBURG RD
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-2820
Mailing Address - Country:US
Mailing Address - Phone:330-757-8250
Mailing Address - Fax:
Practice Address - Street 1:8845 YOUNGSTOWN PITTSBURGH RD
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-2820
Practice Address - Country:US
Practice Address - Phone:330-757-8250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.0007210 SUPV1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool