Individual
TONALISHA MONIQUE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5730 GARFIELD AVE, KANSAS CITY, MO 64130-3340
(913) 940-0219
Mailing address
5730 GARFIELD AVE, KANSAS CITY, MO 64130-3340
(913) 940-0219
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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