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1144370677
BONNIE ELIZABETH SULLIVAN
MARIETTA, GA
NPI
1144370677
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R058997-1)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
-- BONNIE ELIZABETH SULLIVAN LCS
3840 BAYS FERRY TRL
MARIETTA, GA 30062-5287
Phone number: 678-560-5458
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Mailing Address
-- BONNIE ELIZABETH SULLIVAN LCS
3840 BAYS FERRY TRL
MARIETTA, GA 30062-5287
Phone number: 678-560-5458
Copy
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