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1366918617
MICHAEL DAVID SULLIVAN
ITHACA, NY
NPI
1366918617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 087166)
Enumeration Date
2018-10-15
Last Update Date
2019-04-27
Business Address
MICHAEL DAVID SULLIVAN
403 1/2 HECTOR ST
ITHACA, NY 14850-2025
Phone number: 724-704-1719
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Mailing Address
MICHAEL DAVID SULLIVAN
403 1/2 HECTOR ST
ITHACA, NY 14850-2025
Phone number: 724-704-1719
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