Individual
SUSAN KATHLEEN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
3123 CATRINA LN, ANNAPOLIS, MD 21403-4340
(443) 699-0619
Mailing address
3 CHURCH CIR STE 312, ANNAPOLIS, MD 21401-1933
(443) 699-0619
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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