Individual
MERRY C SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
920 S 2ND ST, MOUNT VERNON, WA 98273-4205
(360) 428-6141
Mailing address
20366 ERIC ST, MOUNT VERNON, WA 98274-7736
(360) 424-8845
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA00006054
WA
235Z00000X
Speech-Language Pathologist
Primary
LL60324864
WA
Other
Enumeration date
05/07/2007
Last updated
01/16/2013
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