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Individual

MRS. MARY C SULLIVAN

Active
Sole proprietor
No

Provider details

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

Contact information

Practice address
231 CROSSWICKS RD STE 4, BORDENTOWN, NJ 08505-2602
(609) 372-4613
Mailing address
231 CROSSWICKS RD STE 4, BORDENTOWN, NJ 08505-2602
(609) 372-4613
(609) 372-4618

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00015200
NJ

Other

Enumeration date
05/11/2022
Last updated
05/11/2022
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