Individual
ALEXA JANE LEE SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 CHURCH ST, YALESVILLE, CT 06492-2253
(203) 679-0849
Mailing address
9 KEITH CIR, KILLINGWORTH, CT 06419-1453
(203) 215-0253
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9806
CT
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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