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Individual

MRS. CHERIE SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
927 GRACE AVE, PANAMA CITY, FL 32401-2521
(850) 769-5371
(850) 872-9558
Mailing address
927 GRACE AVE, PANAMA CITY, FL 32401-2521
(850) 769-5371
(850) 872-9558

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 995
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014763900
FL
Enumeration date
03/16/2007
Last updated
06/30/2015
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