Individual
MEREDITH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
731 W CYPRESS ST, KENNETT SQUARE, PA 19348-2419
(610) 444-7550
Mailing address
731 W CYPRESS ST, KENNETT SQUARE, PA 19348-2419
(610) 444-7550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/19/2013
Last updated
03/01/2021
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