Individual
KEELY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3306 RIDGE PASS RD, LITTLE ROCK, AR 72227-2130
(501) 993-4834
Mailing address
3306 RIDGE PASS RD, LITTLE ROCK, AR 72227-2130
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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