CLEMENT SULLIVAN

SAN ANTONIO, TX
NPI1215324207
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-04-17
Last Update Date2015-04-17
Business Address
-- CLEMENT SULLIVAN
519 E QUINCY ST
SAN ANTONIO, TX 78215-1605
Phone number: 210-299-1614
Mailing Address
-- CLEMENT SULLIVAN
519 E QUINCY ST
SAN ANTONIO, TX 78215-1605
Phone number: 210-299-1614
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