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1053840140
CAMILLE SULLIVAN
SANDY, UT
NPI
1053840140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 79071956004)
Enumeration Date
2017-06-12
Last Update Date
2019-06-11
Business Address
CAMILLE SULLIVAN
8686 S 1300 E
SANDY, UT 84094-1947
Phone number: 801-709-0748
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Mailing Address
CAMILLE SULLIVAN
8686 S 1300 E
SANDY, UT 84094-1947
Phone number: 801-750-9090
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