Individual
MRS. SARAHQ WALDEN SUTHERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CAC I
Contact information
Practice address
510 E CAROLINA AVE, HARTSVILLE, SC 29550-4312
(843) 332-4156
Mailing address
510 E CAROLINA AVE, HARTSVILLE, SC 29550-4312
(843) 332-4156
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
SC
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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