EDWARD BRADDOCK SULLIVAN

OLYMPIA, WA
NPI1063092633
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2021-04-08
Last Update Date2021-04-08
Business Address
EDWARD BRADDOCK SULLIVAN
3857 MARTIN WAY E
OLYMPIA, WA 98506-5268
Phone number: 360-704-7170
Mailing Address
EDWARD BRADDOCK SULLIVAN
3857 MARTIN WAY E
OLYMPIA, WA 98506-5268
Phone number: 253-312-9057