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Individual

KRISTA MARIE SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15 W MAIN ST, CAMBRIDGE, NY 12816-1168
(518) 321-0777
Mailing address
15 THOMAS ST, SALEM, NY 12865-9710
(518) 321-0777

Taxonomy

Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary

Other

Enumeration date
08/17/2010
Last updated
08/17/2010
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