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Individual

MADELYNN ROSE SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
11559 TOWNSHIP ROAD 88, PLEASANTVILLE, OH 43148-9601
(740) 405-2304
Mailing address
11559 TOWNSHIP ROAD 88, PLEASANTVILLE, OH 43148-9601
(740) 405-2304

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary

Other

Enumeration date
03/15/2025
Last updated
03/18/2025
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