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1780090753
MICHELLE R SULLIVAN
YUMA, AZ
NPI
1780090753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-10032)
Enumeration Date
2014-07-10
Last Update Date
2014-07-10
Business Address
Ms. MICHELLE R SULLIVAN M.Ed.
2573 S ARIZONA AVE
YUMA, AZ 85364-7336
Phone number: 928-376-0220
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Mailing Address
Ms. MICHELLE R SULLIVAN M.Ed.
2627 S 31ST DR
YUMA, AZ 85364-6949
Phone number: 928-388-4301
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