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1417538992
ASHLEY SULLIVAN
PLACERVILLE, CA
NPI
1417538992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-04-16
Last Update Date
2021-05-12
Business Address
ASHLEY SULLIVAN RADT-1
2844 COLOMA ST
PLACERVILLE, CA 95667-4406
Phone number: 530-333-9460
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Mailing Address
ASHLEY SULLIVAN RADT-1
PO BOX 871
GARDEN VALLEY, CA 95633-0871
Phone number:
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