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1063561447
JOHN W SULLIVAN
RALEIGH, NC
NPI
1063561447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC 5497)
Enumeration Date
2007-01-09
Last Update Date
2007-07-08
Business Address
Mr. JOHN W SULLIVAN LPC
3801 LAKE BOONE TRL
RALEIGH, NC 27607-2934
Phone number: 919-784-9182
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Mailing Address
Mr. JOHN W SULLIVAN LPC
6609 MOUNTAIN BROOK DR
RALEIGH, NC 27615-7307
Phone number: 919-844-1649
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