Mary B Sullivan
NPI #1164651675 in Torrington, Wyoming
Provider Information
- NPI Number
- 1164651675
- Entity Type
- Individual
- Name
- Mary B Sullivan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jul 6, 2009
- Last Updated
- Jan 6, 2010
Practice Location
- Address
- 1138 W C ST
- City
- Torrington
- State
- Wyoming
- ZIP Code
- 82240-3371
- Phone
- (307) 532-6296
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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