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Individual

MRS. ANN M SUTTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
118 E COURT ST, PARIS, IL 61944-2210
(217) 465-4118
(217) 463-1899
Mailing address
PO BOX 1118, 118 EAST COURT STREET, PARIS, IL 61944-5118
(217) 465-4118
(217) 463-1899

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13709
IAODAPCA CERTIFICATE
IL
Enumeration date
05/19/2008
Last updated
05/19/2008
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