Individual
MS. HEATHER MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
11244 WILLOW CREST LN, MOKENA, IL 60448-1334
(708) 342-4972
Mailing address
9210 BIRCH AVE, MOKENA, IL 60448-8322
(708) 819-1547
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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