Individual
ANN ELLEN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 N FLORENCE AVE STE B, CLAREMORE, OK 74017-3159
(918) 608-0380
Mailing address
1914 JAMAICA LN, SHERMAN, TX 75092-2311
(903) 357-9642
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/29/2013
Last updated
11/14/2024
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