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1437831328
KENISHA SULLIVAN
HAVERTOWN, PA
NPI
1437831328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2023-08-01
Last Update Date
2023-08-01
Business Address
KENISHA SULLIVAN MS
1120 W TOWNSHIP LINE RD STE 200
HAVERTOWN, PA 19083-4930
Phone number: 484-451-8313
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Mailing Address
KENISHA SULLIVAN MS
6649 RIDGE AVE APT A304
PHILADELPHIA, PA 19128-2493
Phone number: 267-648-1977
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