Individual
MS. DIANA LOUISE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RC, CDPT
Contact information
Practice address
2806 DOUGLAS AVE, BELLINGHAM, WA 98225-6930
(360) 676-2187
(360) 676-2162
Mailing address
3019 CEDAR LN, SEDRO WOOLLEY, WA 98284-9509
(360) 595-2637
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC00043461
WA
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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