KATHLEEN M. SULLIVAN

LAGO VISTA, TX
NPI1306095955
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: RI  NPP37789)
Enumeration Date2008-09-18
Last Update Date2018-09-11
Business Address
KATHLEEN M. SULLIVAN APRN
20511 SUNSET LN
LAGO VISTA, TX 78645-6245
Phone number: 860-460-1211
Mailing Address
KATHLEEN M. SULLIVAN APRN
20511 SUNSET LN
LAGO VISTA, TX 78645-6245
Phone number: 860-460-1211
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