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Organization
SUSAN E TUTTY LLC
Active
Organization
SUSAN E TUTTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN E TUTTY LCSW (OWNER-PSYCHOTHERAPIST)
(678) 982-6189
Entity
Organization
Contact information
Practice address
1842 INDEPENDENCE SQ STE D, DUNWOODY, GA 30338-5168
(678) 982-6189
(404) 393-8389
Mailing address
1842 INDEPENDENCE SQ STE D, DUNWOODY, GA 30338-5168
(678) 982-6189
(404) 393-8389
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003176377A
—
GA
Enumeration date
04/03/2019
Last updated
04/03/2019
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