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1225407125
MICHAEL SULLIVAN
SAN FRANCISCO, CA
NPI
1225407125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-09-21
Last Update Date
2015-09-21
Business Address
-- MICHAEL SULLIVAN
815 BUENA VISTA AVE W
SAN FRANCISCO, CA 94117-4108
Phone number: 415-580-5332
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Mailing Address
-- MICHAEL SULLIVAN
815 BUENA VISTA AVE W
SAN FRANCISCO, CA 94117-4108
Phone number: 415-580-5332
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