Healthcare Provider Details

I. General information

NPI: 1205729639
Provider Name (Legal Business Name): CAMRYN SUTTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 NOBLE DR
WOOSTER OH
44691-5353
US

IV. Provider business mailing address

2000 NOBLE DR
WOOSTER OH
44691-5353
US

V. Phone/Fax

Practice location:
  • Phone: 330-439-8492
  • Fax:
Mailing address:
  • Phone: 330-439-8492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2512358
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: