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1205571387
HOLLY NICOLE SULLIVAN
FAIRBORN, OH
NPI
1205571387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-05-03
Last Update Date
2022-08-16
Business Address
HOLLY NICOLE SULLIVAN
302 W MAIN ST
FAIRBORN, OH 45324-5037
Phone number: 937-281-4673
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Mailing Address
HOLLY NICOLE SULLIVAN
3103 DIXIE HWY
HAMILTON, OH 45015-1653
Phone number: 513-892-4673
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