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1548224355
ROBERT ALLEN SULLIVAN
COON RAPIDS, MN
NPI
1548224355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 8)
Enumeration Date
2006-04-17
Last Update Date
2007-07-08
Business Address
-- ROBERT ALLEN SULLIVAN LICSW
1930 COON RAPIDS BLVD FAMILY LIFE MENTAL HEALTH CENTER
COON RAPIDS, MN 55433
Phone number: 763-427-7964
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Mailing Address
-- ROBERT ALLEN SULLIVAN LICSW
1930 COON RAPIDS BLVD FAMILY LIFE MENTAL HEALTH CENTER
COON RAPIDS, MN 55433
Phone number: 763-746-9583
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