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1205306990
KENITA A. SULLIVAN
ATLANTA, GA
NPI
1205306990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-11-26
Last Update Date
2018-11-26
Business Address
KENITA A. SULLIVAN
2870 PHARR COURT SOUTH NW APT 2404
ATLANTA, GA 30305-2181
Phone number: 818-437-2782
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Mailing Address
KENITA A. SULLIVAN
2870 PHARR COURT SOUTH NW APT 2404
ATLANTA, GA 30305-2181
Phone number: 818-437-2782
Copy
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