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1710006325
BRYAN E. SULLIVAN
CHARLOTTE, NC
NPI
1710006325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NC LPC3531)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
BRYAN E. SULLIVAN LPC
1123 S CHURCH ST
CHARLOTTE, NC 28203-4003
Phone number: 704-370-3235
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Mailing Address
BRYAN E. SULLIVAN LPC
1123 S CHURCH ST
CHARLOTTE, NC 28203-4003
Phone number: 704-370-3235
Copy
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