MRS. Ida Mae Suttmoller, MA LCSW CASAC
NPI #1912133323 in Versailles, Missouri
Provider Information
- NPI Number
- 1912133323
- Entity Type
- Individual
- Name
- MRS. Ida Mae Suttmoller, MA LCSW CASAC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MA LCSW CASAC
- Enumeration Date
- Jun 1, 2009
- Last Updated
- Jun 1, 2009
Practice Location
- Address
- 108 WEST JASPER
- City
- Versailles
- State
- Missouri
- ZIP Code
- 65084
- Phone
- (573) 378-6833
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Social Worker - Clinical — Clinical |
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