Individual
MRS. MICHELLE MARIE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCMH
Contact information
Practice address
99 PASSMORE DR, WILMINGTON, DE 19803-1548
(302) 478-9411
Mailing address
99 PASSMORE DR, WILMINGTON, DE 19803-1548
(302) 478-9411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0000283
DE
Other
Enumeration date
10/05/2010
Last updated
08/27/2014
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