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Individual

CHLOE SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1020 S MAIN ST STE 300, SALT LAKE CITY, UT 84101-3195
(801) 538-2057
Mailing address
4460 S HIGHLAND DR STE 120, SALT LAKE CITY, UT 84124-3550
(888) 949-4864

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F24-112963
UT

Other

Enumeration date
07/10/2023
Last updated
05/22/2024
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