Individual
CAROLYN YVONNE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 HILLCREST DR, LAURENS, SC 29360-2343
(864) 200-8825
(864) 984-8113
Mailing address
301 HILLCREST DR, LAURENS, SC 29360-2343
(864) 200-8825
(864) 984-8113
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
129764
SC
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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