Individual
DENESS RENIQUE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1376 NIAGARA FALLS BLVD, TONAWANDA, NY 14150-8431
(716) 463-2919
Mailing address
1376 NIAGARA FALLS BLVD, TONAWANDA, NY 14150-8431
(716) 463-2919
(716) 302-8326
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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