Individual
CARA SULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1243 BEACON ST, APT. PH-D, BROOKLINE, MA 02446-5274
(508) 265-1186
Mailing address
1243 BEACON ST, APT. PH-D, BROOKLINE, MA 02446-5274
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8572
MA
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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