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Individual

BRIANNA MARIE SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
12794 FOREST HILL BLVD, WELLINGTON, FL 33414-4710
(561) 753-4998
(561) 753-4911
Mailing address
4200 COMMUNITY DR, APT #2108, WEST PALM BEACH, FL 33409-2742
(908) 591-0109

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 12908
FL

Other

Enumeration date
06/23/2014
Last updated
06/23/2014
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