Individual
ALVIN C SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
332 SHAWNEE INDIAN LN, SUWANEE, GA 30024-6531
(337) 319-5476
Mailing address
4200 RESERVE HILL XING, DOUGLASVILLE, GA 30135-5188
(770) 853-6372
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004159
GA
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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