Most Relevant Information
Provider Data
| NPI Number: | 1003432139 |
| Provider Name: | ANNA FRANCES SULLIVAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/24/2020 |
| Last Updated: | 06/24/2020 |
Provider Practice Location
95A PORTLAND AVE
REDDING
CT
068963112
Practice Location Phone/Fax
| Phone: | 2033123889 |
| Fax: |
Provider Mailing Location
95A PORTLAND AVE
REDDING
CT
068963112
Provider Mailing Phone/Fax
| Phone: | 2033123889 |
| Fax: |