Individual
MS. ANDITO D. SUTHERLAND-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11 E 109TH ST, NEW YORK, NY 10029-3457
(917) 877-0295
Mailing address
211 E 43RD STREET, 7TH FLOOR #357, NEW YORK, NY 10017
(917) 877-0295
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
091975-1
NY
1041C0700X
Clinical Social Worker
Primary
093914
NY
1041C0700X
Clinical Social Worker
17827
LA
Other
Enumeration date
06/12/2014
Last updated
05/16/2023
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