Individual
MRS. DIANNE BERNADETTE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED LMFT
Contact information
Practice address
714 PROSPECT AVENUE, HARFORD, CT 06105
(860) 586-8800
(860) 570-0886
Mailing address
714 PROSPECT AVENUE, HARTFORD, CT 06105
(860) 586-8800
(860) 570-0886
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000497
CT
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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