Individual
MARY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3715 W 133RD ST, LEAWOOD, KS 66209-3347
(913) 213-3531
Mailing address
4308 BROOKRIDGE DR, FAIRWAY, KS 66205-2752
(913) 433-3558
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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