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Individual
MRS. DEBORAH J. SULLIVAN-WITMER
Active
Individual
MRS. DEBORAH J. SULLIVAN-WITMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SPLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004274-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004274-1
LICENSE SPEECH/LANGUAGE PATHOLOGY
NY
01
—
01018729
CERTIFICATE OF CLINICAL COMPETENCE
—
Enumeration date
10/14/2010
Last updated
10/14/2010
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