Carissa Lee Sutfin

NPI #1700401148 in Independence, Ohio

Provider Information

NPI Number: 1700401148
Entity Type: Individual
Name: Carissa Lee Sutfin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Jun 11, 2020
Last Updated: Jun 11, 2020

Practice Location

Address: 6103 DORA BLVD
City: Independence
State: Ohio
ZIP Code: 44131-4930
Phone: (330) 569-8206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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