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1407129588
C STAN SULLIVAN
ST GEORGE, UT
NPI
1407129588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 130803-3501)
Enumeration Date
2012-02-20
Last Update Date
2019-05-22
Business Address
Mr. C STAN SULLIVAN LCSW
377 E RIVERSIDE DR STE B
ST GEORGE, UT 84790
Phone number: 435-862-8273
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Mailing Address
Mr. C STAN SULLIVAN LCSW
377 E RIVERSIDE DR STE B
ST GEORGE, UT 84790-4749
Phone number: 435-862-8273
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