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1417677105
STEPHANIE SULLIVAN
BOSTON, MA
NPI
1417677105
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Former Name
STEPHANIE COLLINS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: MA 5518)
Enumeration Date
2022-09-01
Last Update Date
2022-09-01
Business Address
STEPHANIE SULLIVAN PHD, LMHC
780 ALBANY ST
BOSTON, MA 02118-2755
Phone number: 857-654-1002
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Mailing Address
STEPHANIE SULLIVAN PHD, LMHC
48 HARTNESS RD
SUTTON, MA 01590-4815
Phone number: 508-865-2806
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