MEDICARE: DEBORAH A HUTSON MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	992054	CO

General Provider Information

NPI Number	:	1891753703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH A HUTSON MSW

Provider Business Mailing Address
First Line	:	3641 STUART ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80212-1952
Country	:	US
Telephone Number	:	970-819-6549
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 S STEELE ST
Second Line	:	SUITE 377
City	:	DENVER
State	:	CO
Zip	:	80209-2805
Country	:	US
Telephone Number	:	970-819-6549
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	10/03/2009

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