ZACKARY DAIN SULLIVAN

PADUCAH, KY
NPI1326641978
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2020-11-17
Last Update Date2020-11-17
Business Address
ZACKARY DAIN SULLIVAN
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: 270-442-7121
Mailing Address
ZACKARY DAIN SULLIVAN
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: 270-442-7121
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