Denise C Sullivan

NPI #1184826653 in Sycamore, Illinois

Provider Information

NPI Number: 1184826653
Entity Type: Individual
Name: Denise C Sullivan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Jun 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 908 VAUGHN CT
City: Sycamore
State: Illinois
ZIP Code: 60178-2036
Phone: (815) 895-9441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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