DOMINIQUE SULLA

DEARBORN, MI
NPI1225513716
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MI  7152000240)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2018-10-01
Last Update Date2022-06-07
Business Address
DOMINIQUE SULLA
1360 PORTER ST
DEARBORN, MI 48124-2890
Phone number: 313-689-5188
Mailing Address
DOMINIQUE SULLA
1360 PORTER ST
DEARBORN, MI 48124-2890
Phone number: 313-689-5188