Individual
MAKENZIE LADD SUTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
547 N EAGLE ST, CLARKSBURG, MA 01247-2179
(413) 652-9816
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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