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Carol Sullivan, CASE MANAGER
NPI 1629324017 · on the registry since 2012
Practice
- Address
- 602 Weinrich Rd Trlr 6
Las Cruces, NM 88007 - Phone
- (575) 496-1162
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 111NR0400X
172M00000X
173C00000X - Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico