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1063548139
MICHAEL DANIEL SULLIVAN
NORFOLK, NE
NPI
1063548139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NE 1464)
Enumeration Date
2007-02-25
Last Update Date
2016-01-12
Business Address
-- MICHAEL DANIEL SULLIVAN LICSW, CDGC
208 N 5TH ST SUITE C
NORFOLK, NE 68701-4155
Phone number: 402-750-7923
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Mailing Address
-- MICHAEL DANIEL SULLIVAN LICSW, CDGC
208 N 5TH ST
NORFOLK, NE 68701-4155
Phone number: 402-750-7923
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