Individual
HEATHER M SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
550 SUMMIT AVE, TROY, OH 45373-3047
(937) 335-0361
Mailing address
600 WALNUT ST, GREENVILLE, OH 45331-1944
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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