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1104655950
DALLAS MARIE SULLIVAN
GLENDORA, CA
NPI
1104655950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT147802)
Enumeration Date
2024-07-30
Last Update Date
2024-07-30
Business Address
DALLAS MARIE SULLIVAN
1160 S GRAND AVE
GLENDORA, CA 91740-5000
Phone number: 626-335-5980
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Mailing Address
DALLAS MARIE SULLIVAN
1160 S GRAND AVE
GLENDORA, CA 91740-5000
Phone number: 626-335-5980
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