Individual
RYAN L SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2070 VALLEY CREEK DR, LITHIA SPRINGS, GA 30122-3646
(404) 808-4775
Mailing address
2070 VALLEY CREEK DR, LITHIA SPRINGS, GA 30122-3646
(404) 808-4775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004244
GA
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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