BRIAN KENNETH SULLIVAN

MT PLEASANT, SC
NPI1497923023
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: SC  622)
Enumeration Date2008-02-17
Last Update Date2008-02-17
Business Address
BRIAN KENNETH SULLIVAN PSYD
250 MATHIS FERRY RD SUITE 101
MT PLEASANT, SC 29464-2988
Phone number: 843-971-5171
Mailing Address
BRIAN KENNETH SULLIVAN PSYD
250 MATHIS FERRY RD SUITE 101
MT PLEASANT, SC 29464-2988
Phone number: 843-971-5171
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