Individual
ALICIA SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPS
Contact information
Practice address
8009 SMOKE CREEK LN, TEMPLE, TX 76502-4143
(314) 518-1188
Mailing address
8009 SMOKE CREEK LN, TEMPLE, TX 76502-4143
(314) 518-1188
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
TX
175T00000X
Peer Specialist
Primary
11674
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306198411
—
MO
Enumeration date
10/12/2012
Last updated
04/20/2026
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