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1134596687
SHANNON SULLIVAN
GRAND RAPIDS, MI
NPI
1134596687
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Former Name
SHANNON MCCULLOUGH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 925807)
Enumeration Date
2015-08-31
Last Update Date
2020-02-19
Business Address
SHANNON SULLIVAN LMSW
100 CHERRY ST SE
GRAND RAPIDS, MI 49503-4526
Phone number: 616-965-8200
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Mailing Address
SHANNON SULLIVAN LMSW
100 CHERRY ST SE
GRAND RAPIDS, MI 49503-4526
Phone number: 616-965-8200
Copy
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