Individual
DIANE SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 44TH ST SW # 117, WYOMING, MI 49519-6421
(616) 644-6802
Mailing address
1740 44TH ST SW # 117, WYOMING, MI 49519-6421
(616) 644-6802
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401222359
MI
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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