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Individual

MISS MAUREEN ANN SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
1714 WATSON CT, CARLSBAD, NM 88220-4172
(575) 640-5417
Mailing address
1714 WATSON CT, CARLSBAD, NM 88220-4172
(575) 640-5417

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16981
CA

Other

Enumeration date
01/09/2009
Last updated
01/09/2009
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