Individual
KATHRYN ANN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2403 SAN MATEO BLVD NE, SUITE S-14, ALBUQUERQUE, NM 87110-4058
(505) 830-6500
Mailing address
2403 SAN MATEO BLVD NE, SUITE S-14, ALBUQUERQUE, NM 87110-4058
(505) 830-6500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0115061
NM
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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