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Individual

MRS. ANNA MARIA SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.-CCC-SLP

Contact information

Practice address
14556 ROCKINGHAM PIKE, RIVER BEND ELEMENTARY SCHOOL, ELKTON, VA 22827
(540) 298-5301
(540) 298-5305
Mailing address
14556 ROCKINGHAM PIKE, RIVER BEND ELEMENTARY SCHOOL, ELKTON, VA 22827
(540) 298-5301
(540) 298-5305

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006027
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
54-600-1584
ROCKINGHAM COUNTY
VA
Enumeration date
01/18/2018
Last updated
01/18/2018
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