Camille Sullivan

NPI #1316498694 in Greenacres, Florida

Provider Information

NPI Number: 1316498694
Entity Type: Individual
Name: Camille Sullivan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Oct 20, 2016
Last Updated: Oct 20, 2016

Practice Location

Address: 309 KNOTTY PINE CIR
Address 2: D2
City: Greenacres
State: Florida
ZIP Code: 33463-9178
Phone: (908) 601-4525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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