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Individual
MRS. MARY HUNTER SUDDUTH
Active
Individual
MRS. MARY HUNTER SUDDUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006847
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600669-942
—
VA
Enumeration date
02/20/2009
Last updated
12/01/2016
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