Individual
SAMARY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6190 NW 186TH ST, APT 207, HIALEAH, FL 33015-8072
(786) 612-1141
Mailing address
6190 NW 186TH ST, APT 207, HIALEAH, FL 33015-8072
(786) 612-1141
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI2364
FL
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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