MARALISSA A SULLIVAN

FORT WAYNE, IN
NPI1700130267
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-11-06
Last Update Date2012-11-06
Business Address
-- MARALISSA A SULLIVAN MS
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
Mailing Address
-- MARALISSA A SULLIVAN MS
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700