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1154530749
JUDY CAROL SULLIVAN
COLUMBIA, SC
NPI
1154530749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: SC 310)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
Dr. JUDY CAROL SULLIVAN Ph.D.
1528 BLANDING ST
COLUMBIA, SC 29201-2907
Phone number: 803-252-9444
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Mailing Address
Dr. JUDY CAROL SULLIVAN Ph.D.
1528 BLANDING ST
COLUMBIA, SC 29201-2907
Phone number: 803-252-9444
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