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1679609911
ROBERT DENNIS SULLIVAN
KETCHIKAN, AK
NPI
1679609911
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Professional Name
ROBERT DENNIS SULLIVAN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: AK 605)
Enumeration Date
2007-02-23
Last Update Date
2007-07-08
Business Address
Mr. ROBERT DENNIS SULLIVAN LCSW
102 CARLANNA LAKE ROAD
KETCHIKAN, AK 99901
Phone number: 907-225-5576
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Mailing Address
Mr. ROBERT DENNIS SULLIVAN LCSW
3183 JACKSON HEIGHTS ST
KETCHIKAN, AK 99901-5782
Phone number: 907-225-5576
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