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Individual

KATHERINE TILLEY SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
440 N MAIN ST, BRISTOL, CT 06010-1902
(860) 893-1977
Mailing address
24 LORDS HWY, WESTON, CT 06883-1619
(203) 917-7392

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4124
CT

Other

Enumeration date
07/06/2021
Last updated
07/06/2021
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