KRISTY BASCLE SULLIVAN

MANDEVILLE, LA
NPI1831781624
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: LA  11717205)
Enumeration Date2021-02-03
Last Update Date2021-02-03
Business Address
Mrs. KRISTY BASCLE SULLIVAN
2810 E CAUSEWAY APPROACH
MANDEVILLE, LA 70448-3502
Phone number: 985-869-0306
Mailing Address
Mrs. KRISTY BASCLE SULLIVAN
2351 VILLERE ST
MANDEVILLE, LA 70448-5146
Phone number: 985-869-0306
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