C STAN SULLIVAN

ST GEORGE, UT
NPI1407129588
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  130803-3501)
Enumeration Date2012-02-20
Last Update Date2019-05-22
Business Address
Mr. C STAN SULLIVAN LCSW
377 E RIVERSIDE DR STE B
ST GEORGE, UT 84790
Phone number: 435-862-8273
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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