THERESA SULLIVAN

JEFFERSON CITY, MO
NPI1255500039
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  lifetime)
Enumeration Date2008-02-26
Last Update Date2008-02-26
Business Address
-- THERESA SULLIVAN
315 E DUNKLIN ST
JEFFERSON CITY, MO 65101-3128
Phone number: 573-659-3033
Mailing Address
-- THERESA SULLIVAN
315 E DUNKLIN ST
JEFFERSON CITY, MO 65101-3128
Phone number: 573-659-3033
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