Carol Allen Sullivan

NPI #1730939935 in Mount Clemens, Michigan

Provider Information

NPI Number: 1730939935
Entity Type: Individual
Name: Carol Allen Sullivan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Mar 22, 2024
Last Updated: Mar 22, 2024

Practice Location

Address: 22 CHURCH ST
City: Mount Clemens
State: Michigan
ZIP Code: 48043-2351
Phone: (586) 463-3675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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