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1093061285
TIFFANY LYNN SULLIVAN
MCDONOUGH, GA
NPI
1093061285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: GA LPC007416)
Enumeration Date
2012-07-25
Last Update Date
2019-01-23
Business Address
TIFFANY LYNN SULLIVAN LPC
901 PAVILION CT
MCDONOUGH, GA 30253-6665
Phone number: 678-814-4375
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Mailing Address
TIFFANY LYNN SULLIVAN LPC
901 PAVILION CT
MCDONOUGH, GA 30253-6665
Phone number: 678-814-4375
Copy
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