BRUCE WAYNE SULLIVAN

GULFPORT, MS
NPI1508836537
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MS  0727)
Enumeration Date2006-01-24
Last Update Date2007-07-08
Business Address
Mr. BRUCE WAYNE SULLIVAN LPC
450 E PASS RD STE. 3
GULFPORT, MS 39507-3212
Phone number: 228-604-0099
Mailing Address
Mr. BRUCE WAYNE SULLIVAN LPC
450 E PASS RD STE. 3
GULFPORT, MS 39507-3212
Phone number: 228-604-0099
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