Individual
PATTI SUTTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
330 W BRAMBLETON AVE, SUITE 206, NORFOLK, VA 23510-1325
(757) 640-0400
(757) 626-3318
Mailing address
330 W BRAMBLETON AVE, SUITE 206, NORFOLK, VA 23510-1325
(757) 640-0400
(757) 626-3318
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904002557
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
253666
COM PSYCH
—
Enumeration date
08/04/2005
Last updated
07/08/2007
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