Individual
DAINA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPAT
Contact information
Practice address
2230 OLD EMMORTON RD, BEL AIR, MD 21015-6106
(410) 529-2151
Mailing address
715 WINTON AVE, GLEN BURNIE, MD 21061-2479
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
ATG322
MD
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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