Most Relevant Information
Provider Data
| NPI Number: | 1003273780 |
| Provider Name: | LESLIE SUTTLE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 251S00000X |
Most Important Dates
| Enumeration Date: | 01/26/2016 |
| Last Updated: | 01/26/2016 |
Provider Practice Location
1401 APPLEWOOD
DALTON
GA
307202699
Practice Location Phone/Fax
| Phone: | 7062705033 |
| Fax: |
Provider Mailing Location
1401 APPLEWOOD DR
DALTON
GA
307202699
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |