Most Relevant Information
Provider Data
| NPI Number: | 1003398900 |
| Provider Name: | KAREN SUTTLE |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 115129-SW-LICSW |
Most Important Dates
| Enumeration Date: | 09/06/2018 |
| Last Updated: | 09/06/2018 |
Provider Practice Location
15 EVERARD AVE
REVERE
MA
021515516
Practice Location Phone/Fax
| Phone: | 7814852715 |
| Fax: |
Provider Mailing Location
58 ALLSTON ST
MEDFORD
MA
021553604
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |