Individual
MS. EMILY JOHNSON SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1581 N MAIN ST, PALMER, MA 01069-1232
(413) 283-3267
Mailing address
156 N LIBERTY ST, BELCHERTOWN, MA 01007-9302
(413) 323-7327
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/12/2007
Last updated
11/15/2007
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