PENNY SULLIVAN

TACOMA, WA
NPI1164643656
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP00001128)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
-- PENNY SULLIVAN CDP
5915 ORCHARD ST W BLDG B
TACOMA, WA 98467-3824
Phone number: 253-473-7474
Mailing Address
-- PENNY SULLIVAN CDP
PO BOX 946
ROY, WA 98580-0946
Phone number: 253-843-2811
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