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Individual
NIKKI DENISE SUTAK
Active
Individual
NIKKI DENISE SUTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
Primary
RN.1658577
CO
Other
Enumeration date
10/25/2011
Last updated
02/05/2019
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