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Individual

JUDITH ANN SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1238 CALLE DE LAGO, SOCORRO, NM 87801-4805
(575) 835-8991
(575) 838-0423
Mailing address
1238 CALLE DE LAGO, SOCORRO, NM 87801-4805
(575) 835-8991
(575) 838-0423

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
NM

Other

Enumeration date
07/06/2026
Last updated
07/06/2026
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