Individual
MS. AMY BETH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 KIRTS BLVD STE 300, TROY, MI 48084-4855
(248) 649-3739
Mailing address
1250 KIRTS BLVD STE 300, TROY, MI 48084-4855
(248) 649-3739
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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