MICHELLE SULLIVAN

MODESTO, CA
NPI1124664461
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  18889)
Enumeration Date2019-11-21
Last Update Date2019-11-21
Business Address
MICHELLE SULLIVAN CCC-SLP
4715 YOSEMITE BOULEVARD
MODESTO, CA 95357
Phone number: 209-574-9707
Mailing Address
MICHELLE SULLIVAN CCC-SLP
5600 WILKINS AVE
OAKDALE, CA 95361-7752
Phone number: 209-499-7832
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