Individual
ANNA KATHLEEN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1417 SAN FRANCISCO AVE NE, OLYMPIA, WA 98506-4399
(360) 596-6700
Mailing address
1417 SAN FRANCISCO AVE NE, OLYMPIA, WA 98506-4399
(360) 596-6700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
61338973
WA
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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