Individual
KELLI SUTTON BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
420 3RD ST NE, CHARLOTTESVILLE, VA 22902-4620
(434) 806-7297
Mailing address
1400 BLUE RIDGE RD, CHARLOTTESVILLE, VA 22903-1212
(434) 806-7297
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008795
VA
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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