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1033865712
CORISSA DANTE' SULLIVAN
BURBANK, CA
NPI
1033865712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2022-02-22
Last Update Date
2022-02-22
Business Address
CORISSA DANTE' SULLIVAN
342 N LIMA ST
BURBANK, CA 91505-3511
Phone number: 818-934-0417
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Mailing Address
CORISSA DANTE' SULLIVAN
220 WESTWOOD BLVD
LOS ANGELES, CA 90095-0001
Phone number:
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