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Individual
MRS. SOFIA BAGLIVO SULLIVAN
Active
Individual
MRS. SOFIA BAGLIVO SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
024595
NY
235Z00000X
Speech-Language Pathologist
Primary
41YS01058600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04174021
—
NY
Enumeration date
04/15/2014
Last updated
01/19/2023
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