Individual
CHANTA SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MHC
Contact information
Practice address
601 N LOIS AVE, SUITE 27, TAMPA, FL 33609-2216
(813) 402-8104
Mailing address
4425 E TARPON DR, TAMPA, FL 33617-8323
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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