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1184826521
THERESA MARIE SULLIVAN
SPRINGFIELD, OR
NPI
1184826521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-06-05
Last Update Date
2014-06-11
Business Address
-- THERESA MARIE SULLIVAN BA/QMHA
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
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Mailing Address
-- THERESA MARIE SULLIVAN BA/QMHA
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
Copy
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