Individual
ALICE SUDDUTH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
20823 N MAIN ST, SUITE 113, CORNELIUS, NC 28031-8206
(704) 895-8447
(704) 895-8494
Mailing address
20823 N MAIN ST, SUITE 113, CORNELIUS, NC 28031-8206
(704) 895-8447
(704) 895-8494
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3856
NC
Other
Enumeration date
12/16/2005
Last updated
07/08/2007
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