Individual
DEBORAH MAE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
190 MOSSY OAK CIR, NORTH AUGUSTA, SC 29841-3093
(706) 627-6219
(803) 341-9761
Mailing address
190 MOSSY OAK CIR, NORTH AUGUSTA, SC 29841-3093
(706) 627-6219
(803) 341-9761
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/12/2013
Last updated
06/23/2014
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