Individual
MS. EVA LUKKONEN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MM MA CCC-SLP
Contact information
Practice address
247 JACKSON ST, LAWRENCEVILLE, GA 30046-5705
(678) 825-6411
(678) 796-7611
Mailing address
247 JACKSON ST, LAWRENCEVILLE, GA 30046-5705
(678) 825-6411
(678) 796-7611
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007119
GA
Other
Enumeration date
02/24/2009
Last updated
04/22/2015
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