Provider Demographics
NPI:1790012920
Name:HUTCHINSON, SHARON DENISE (COUNSELOR)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:DENISE
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3201 ATLANTA INDUSTRIAL PKWY NW
Mailing Address - Street 2:SUITE 302
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-1045
Mailing Address - Country:US
Mailing Address - Phone:404-699-6370
Mailing Address - Fax:404-893-6856
Practice Address - Street 1:3201 ATLANTA INDUSTRIAL PKWY NW
Practice Address - Street 2:SUITE 302
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-1045
Practice Address - Country:US
Practice Address - Phone:404-699-6370
Practice Address - Fax:404-893-6856
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-09
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA104100000X, 252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No104100000XBehavioral Health & Social Service ProvidersSocial Worker