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Jeremy Scott Sutherland, B.A.

Case Manager/Care Coordinator in Fairmont, WV. Individual provider (NPI-1).

NPI number1699345587
StatusActive
Last updated in NPPESJul 1, 2021

Details

NPI
1699345587
Entity type
Individual (NPI-1)
Name
Jeremy Scott Sutherland
Credential
B.A.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 1, 2021
Certification date
Jul 1, 2021
Last updated
Jul 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

701 Benoni Ave
Fairmont, WV 26554-0045

Phone 681-404-6135

Mailing address

701 Benoni Ave
Fairmont, WV 26554-0045

Phone 681-404-6135

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