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1902794613
MAE COLLEEN SULLIVAN
TIMONIUM, MD
NPI
1902794613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MD A01065)
Enumeration Date
2025-06-24
Last Update Date
2025-06-24
Business Address
MAE COLLEEN SULLIVAN MS
3 TALBOTT AVE STE 100
TIMONIUM, MD 21093-2329
Phone number: 410-205-4928
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Mailing Address
MAE COLLEEN SULLIVAN MS
2809 HAMPDEN AVE
BALTIMORE, MD 21211-2920
Phone number: 301-520-1556
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