Individual
MR. KRISTOPHER MICHAEL SUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LISW-S
Contact information
Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
Mailing address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.0500647
OH
1041C0700X
Clinical Social Worker
I.1000154
OH
1041C0700X
Clinical Social Worker
Primary
I.1000154.SUPV
OH
Other
Enumeration date
04/01/2008
Last updated
10/05/2012
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