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1477666121
TIFFANY ANN SULLIVAN
PRESTONSBURG, KY
NPI
1477666121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-08-16
Last Update Date
2007-07-08
Business Address
-- TIFFANY ANN SULLIVAN BA
40 GREENHOUSE LN RT 321 AUXIER RD
PRESTONSBURG, KY 41653
Phone number: 606-886-6815
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Mailing Address
-- TIFFANY ANN SULLIVAN BA
104 S FRONT AVE
PRESTONSBURG, KY 41653
Phone number: 606-886-8572
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