Individual
DEBRA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 HAMILTON AVE, MONTICELLO, NY 12701-1411
(845) 794-8080
Mailing address
17 HAMILTON ST, MONTICELLO, NY 12701-1411
(845) 794-8080
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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