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1770654386
MARY K SULLIVAN
LA CROSSE, WI
NPI
1770654386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 3331)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
-- MARY K SULLIVAN LPC
212 11TH ST S
LA CROSSE, WI 54601-4116
Phone number: 608-392-9555
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Mailing Address
-- MARY K SULLIVAN LPC
700 WEST AVE S PHYSICIAN SERVICES DEPT
LA CROSSE, WI 54601-4783
Phone number: 608-392-4156
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