Organization
SOFIA SULLIVAN SLP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOFIA BAGLIVO SULLIVAN M.A., CCC-SLP (OWNER)
(551) 208-7166
Entity
Organization
Contact information
Practice address
206 YORK ST APT 1, JERSEY CITY, NJ 07302-3645
(551) 208-7166
Mailing address
206 YORK ST APT 1, JERSEY CITY, NJ 07302-3645
(551) 208-7166
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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