Individual
MS. LATARA L SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
140 N ASHLAND AVE, CHICAGO, IL 60607-1802
(312) 850-0050
Mailing address
2251 E 92ND ST, CHICAGO, IL 60617-3839
(773) 822-8024
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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