Individual
MARTHA DELLENEY SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 GREGG ST, COLUMBIA, SC 29201-3528
(803) 786-1844
(803) 939-2646
Mailing address
1408 GREGG ST, COLUMBIA, SC 29201-3528
(803) 786-1844
(803) 939-2646
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
570984185
SC
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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