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1548738982
RYAN CHRISTOPHER SULLIVAN
AUSTIN, TX
NPI
1548738982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: TX 58703)
Enumeration Date
2018-11-04
Last Update Date
2018-11-04
Business Address
RYAN CHRISTOPHER SULLIVAN LCSW
7309 LAZY CREEK DR
AUSTIN, TX 78724-3211
Phone number: 512-414-5272
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Mailing Address
RYAN CHRISTOPHER SULLIVAN LCSW
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-472-4357
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