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1720044084
DIAN SULLIVAN
FORT WAYNE, IN
NPI
1720044084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IN 34001106A)
Enumeration Date
2006-04-25
Last Update Date
2016-03-04
Business Address
-- DIAN SULLIVAN LCSW
800 BROADWAY SUITE 315
FORT WAYNE, IN 46802-2149
Phone number: 260-489-6030
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Mailing Address
-- DIAN SULLIVAN LCSW
800 BROADWAY SUITE 315
FORT WAYNE, IN 46802-2149
Phone number: 260-489-6030
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