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NPI Code Detail

MEDICARE: KERRI JO SUTTON

MEDICARE:   KERRI JO SUTTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerI10220OH

General Provider Information

NPI Number : 1639231996
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRI JO SUTTON
Provider Business Mailing Address
First Line : PO BOX 181125
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-7125
Country : US
Telephone Number : 216-224-5969
Fax Number : 216-231-9933
Provider Business Practice Location Address
First Line : 12429 CEDAR RD
Second Line : SUITE 9
City : CLEVELAND HEIGHTS
State : OH
Zip : 44106-3199
Country : US
Telephone Number : 216-224-5969
Fax Number : 216-231-9933
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 07/08/2007

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Directions to “ KERRI JO SUTTON ” Practice Location

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