BRIAN SULLIVAN

GRANTS PASS, OR
NPI1699290106
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2017-08-04
Last Update Date2022-07-21
Business Address
BRIAN SULLIVAN
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
Mailing Address
BRIAN SULLIVAN
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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