JOHN GERARD SULLIVAN

SAINT PAUL, MN
NPI1154478741
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  05806)
Enumeration Date2007-01-04
Last Update Date2007-07-09
Business Address
-- JOHN GERARD SULLIVAN LICSW
160 KELLOGG BLVD E
SAINT PAUL, MN 55101-1420
Phone number: 651-266-4302
Mailing Address
-- JOHN GERARD SULLIVAN LICSW
160 KELLOGG BLVD E
SAINT PAUL, MN 55101-1420
Phone number: 651-266-4302
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