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Individual
IVY NOEL SUTEK
Active
Individual
IVY NOEL SUTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17091-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
2-01960
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100096702
—
WI
05
—
1346881992
—
MI
01
—
18963130
STATE OF WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
10/04/2019
Last updated
06/09/2026
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