Individual
COURTNEY ALYCE SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 MEADOW LN APT 4, BRIDGEWATER, MA 02324-1811
(508) 818-2330
Mailing address
27 ETRE DR, WORCESTER, MA 01604-1413
(508) 818-2330
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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