SHAKTI SUTRIASA

VERO BEACH, FL
NPI1750660841
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW 11579)
Enumeration Date2011-08-08
Last Update Date2022-12-23
Business Address
Ms. SHAKTI SUTRIASA MSW
1850 43RD AVE C-11
VERO BEACH, FL 32960-0504
Phone number: 772-321-2291
Mailing Address
Ms. SHAKTI SUTRIASA MSW
PO BOX 4467
ROLLINGBAY, WA 98061-0467
Phone number: 206-486-4338
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