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1407078983
MARY JO SULLIVAN
NORMAN, OK
NPI
1407078983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 174)
Enumeration Date
2007-05-03
Last Update Date
2020-04-22
Business Address
Ms. MARY JO SULLIVAN LADC
125 PINE TREE LN
NORMAN, OK 73072-5012
Phone number: 405-321-8966
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Mailing Address
Ms. MARY JO SULLIVAN LADC
125 PINE TREE LN
NORMAN, OK 73072-5012
Phone number: 405-321-8966
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