STACEY LYNN SULLIVAN

BOSTON, MA
NPI1902158207
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MA  6466)
Enumeration Date2012-10-10
Last Update Date2012-10-10
Business Address
-- STACEY LYNN SULLIVAN MS, CCC-SLP
275 CAMBRIDGE ST POB-3
BOSTON, MA 02114-3108
Phone number: 617-724-2045
Mailing Address
-- STACEY LYNN SULLIVAN MS, CCC-SLP
275 CAMBRIDGE ST POB-3
BOSTON, MA 02114-3108
Phone number: