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Individual
LINDSAY SUTTON
Active
Individual
LINDSAY SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
075628
NY
1041C0700X
Clinical Social Worker
Primary
078120
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00355940
AGENCY MEDICAID #
NY
01
—
075628
NYS LICENSE #
NY
01
—
078120
NYS LICENSE
NY
01
—
1285628552
AGENCY NPI
NY
Enumeration date
12/20/2006
Last updated
02/03/2012
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