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1427889021
ANTOINETTE GRACE SULLIVAN
ANCHORAGE, AK
NPI
1427889021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: AK 213488)
Enumeration Date
2024-08-13
Last Update Date
2024-08-13
Business Address
ANTOINETTE GRACE SULLIVAN LMSW
3831 PIPER ST STE S220
ANCHORAGE, AK 99508-4680
Phone number: 907-212-2321
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Mailing Address
ANTOINETTE GRACE SULLIVAN LMSW
PO BOX 4105
PORTLAND, OR 97208-4105
Phone number: 866-907-1068
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