MR. Joseph Sullivan

NPI #1043903412 in Dayton, Ohio

Provider Information

NPI Number: 1043903412
Entity Type: Individual
Name: MR. Joseph Sullivan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: May 31, 2023
Last Updated: May 31, 2023

Practice Location

Address: 5563 FAR HILLS AVE
City: Dayton
State: Ohio
ZIP Code: 45429-2225
Phone: (937) 291-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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