Individual
MS. GAYLE MOSS SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
161 WESTHAVEN DR, PADUCAH, KY 42001-8617
(270) 534-8540
(270) 534-1688
Mailing address
161 WESTHAVEN DR, PADUCAH, KY 42001-8617
(270) 534-8540
(270) 534-1688
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1272
KY
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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