SearchMississippi373H00000X

Loretta Sullivan, IDD WAIVER SERVICES

NPI 1437875416 · on the registry since 2022

Practice

Address
41 Bonhomie Rd
Hattiesburg, MS 39401
Phone
(601) 450-0274
Clinicians at this address
20

Registry record

Primary taxonomy
373H00000X
373H00000X
Sex
Female
Record last updated
2022-10-12

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 Mississippi