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General NPI Number Information
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NPI Number | 1720690910
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Entity Type | Individual
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Provider Name | JOYCE SUTTON LSW, M.ED.
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Gender | Female
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Dates
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Enumeration Date | 08/19/2020
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 5600 MONROE ST STE 103B
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City | SYLVANIA
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State | OH
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Zip | 43560-2795
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Country | US
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Telephone | 419-885-5922
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Fax |
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Provider Business Mailing Address
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Address Line | 624 RIVER RD
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City | MAUMEE
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State | OH
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Zip | 43537-3455
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Country | US
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Telephone | 419-343-2164
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | S.0013069
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | LSP01287
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License Number State | OH
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