Individual
JOSHUA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
216 RICHARD HARRISON WAY, MORGANTOWN, WV 26501-1133
(304) 291-9066
Mailing address
216 RICHARD HARRISON WAY, MORGANTOWN, WV 26501-1133
(304) 291-9066
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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