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Individual

MISS CAITLIN MARIE SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
625 COMMUNITY WAY, LANCASTER, PA 17603-2301
(717) 393-0424
Mailing address
2745 CHESTNUT RUN RD, YORK, PA 17402-8855
(717) 870-0870

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL014631
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
09/12/2018
Last updated
08/08/2019
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