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1194473413
DALE SULLIVAN
IRONTON, OH
NPI
1194473413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-03-15
Last Update Date
2022-03-15
Business Address
DALE SULLIVAN
305 PARK AVE
IRONTON, OH 45638-1525
Phone number: 740-550-4991
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Mailing Address
DALE SULLIVAN
305 PARK AVE
IRONTON, OH 45638-1525
Phone number: 740-550-4991
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