Individual
AYDAN GRACE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46 BRITTANY FARMS RD APT 225, NEW BRITAIN, CT 06053-1224
(860) 338-4569
Mailing address
46 BRITTANY FARMS RD APT 225, NEW BRITAIN, CT 06053-1224
(860) 338-4569
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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