Individual
CARRIE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 COURT ST, NORWICH, NY 13815-1695
(607) 337-1723
Mailing address
5 COURT ST, NORWICH, NY 13815-1695
(607) 337-1723
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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