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Individual

ANDREA SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4440 CARVER WOODS DR, BLUE ASH, OH 45242-5529
(513) 771-7655
Mailing address
12056 COOPERWOOD LN, MONTGOMERY, OH 45242-6320

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.07130
OH

Other

Enumeration date
02/02/2026
Last updated
02/02/2026
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