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Individual

MS. JULIA CECILE SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MT-BC

Contact information

Practice address
903 BARKER HILL RD, HERNDON, VA 20170-3015
(703) 481-8565
Mailing address
903 BARKER HILL RD, HERNDON, VA 20170-3015
(703) 481-8565

Taxonomy

Speciality
Code
Description
License number
State
102X00000X
Poetry Therapist
09687
VA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
09687
VA
225A00000X
Music Therapist
Primary
09687
VA

Other

Enumeration date
03/25/2011
Last updated
09/27/2012
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