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1639110273
MAURA D. SULLIVAN
PORTLAND, OR
NPI
1639110273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NH 1012)
Enumeration Date
2006-06-08
Last Update Date
2024-01-23
Business Address
Dr. MAURA D. SULLIVAN Psy.D.
3583 NE BROADWAY ST
PORTLAND, OR 97232-1820
Phone number: 503-432-8470
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Mailing Address
Dr. MAURA D. SULLIVAN Psy.D.
3583 NE BROADWAY ST
PORTLAND, OR 97232-1820
Phone number: 503-432-8470
Copy
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