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1154478741
JOHN GERARD SULLIVAN
SAINT PAUL, MN
NPI
1154478741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 05806)
Enumeration Date
2007-01-04
Last Update Date
2007-07-09
Business Address
-- JOHN GERARD SULLIVAN LICSW
160 KELLOGG BLVD E
SAINT PAUL, MN 55101-1420
Phone number: 651-266-4302
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Mailing Address
-- JOHN GERARD SULLIVAN LICSW
160 KELLOGG BLVD E
SAINT PAUL, MN 55101-1420
Phone number: 651-266-4302
Copy
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