Individual
DEANA SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1068 S LAKE DR, LEXINGTON, SC 29073-3720
(803) 726-9451
Mailing address
116 ALBERT RD, WEST COLUMBIA, SC 29172-2802
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10236
SC
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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