Individual
MRS. JO SUTHERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW MSW
Contact information
Practice address
10400 VINEYARD BLVD, SUITE E, OKLAHOMA CITY, OK 73120-3829
(405) 848-5620
(405) 848-5619
Mailing address
PO BOX 7841, MOORE, OK 73153-1841
(405) 640-3111
(405) 692-2540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
516
OK
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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