Individual
MRS. DAEYOUNG SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
11 INDIAN MILL RD, COS COB, CT 06807-1315
(646) 398-0158
Mailing address
11 INDIAN MILL RD, COS COB, CT 06807-1315
(646) 398-0158
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000846
CT
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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