Individual
KEIA L SUTTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 LEBANON RD, MURFREESBORO, TN 37129-1392
(615) 225-3807
Mailing address
3400 LEBANON RD, MURFREESBORO, TN 37129-1392
(615) 225-3807
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0000012066
TN
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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