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1437875416
LORETTA SULLIVAN
HATTIESBURG, MS
NPI
1437875416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2022-10-12
Last Update Date
2022-10-12
Business Address
LORETTA SULLIVAN IDD WAIVER SERVICES
41 BONHOMIE RD
HATTIESBURG, MS 39401-8648
Phone number: 601-450-0274
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Mailing Address
LORETTA SULLIVAN IDD WAIVER SERVICES
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901
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