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1356456297
MARK TIGHE SULLIVAN
ASBURY PARK, NJ
NPI
1356456297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44sc01470400)
Enumeration Date
2006-08-20
Last Update Date
2007-07-08
Business Address
Mr. MARK TIGHE SULLIVAN LCSW
1011 BOND ST
ASBURY PARK, NJ 07712-5939
Phone number: 732-869-2781
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Mailing Address
Mr. MARK TIGHE SULLIVAN LCSW
304 LIBERTY ST
LONG BRANCH, NJ 07740-7339
Phone number: 732-869-2781
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