Provider Information for 1144523093
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GIA M SEUTTER LCSW
Sex: Female
NPI: 1144523093
Last Updated: 2023-12-14
Certification Date: 2023-12-14
Certification Date: 2023-12-14
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1144523093 | ||||||||||||
| Enumeration Date | 2010-12-15 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 6104 LOGAN DR KLAMATH FALLS, OR 97603-9436 United States Phone: 541-281-8686 | Fax: | ||||||||||||
| Primary Practice Address | 6104 LOGAN DR KLAMATH FALLS, OR 97603-9436 United States Phone: 541-281-8686 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 2821 DAGGETT AVE STE 100 | ||||||||||||
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