Individual
JENNIFER SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94 LEWIS DR, HAYS, KS 67601-4020
(785) 625-3257
Mailing address
94 LEWIS DR, HAYS, KS 67601-4020
(785) 625-3257
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2568
KS
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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