Individual
DR. MARY ANN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 WOODHAVEN DR, SEABROOK, HILTON HEAD ISLAND, SC 29928-7511
(843) 842-3747
(843) 842-3739
Mailing address
15 BELVEDERE LN, BLUFFTON, SC 29909-6100
(843) 705-3390
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
001866
GA
235Z00000X
Speech-Language Pathologist
Primary
2857
SC
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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