MARY LOU SULLIVAN

PORTLAND, OR
NPI1801083514
Former NameMARY LOU BACCI VILLAVICENCIO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-09-26
Last Update Date2007-09-26
Business Address
Mrs. MARY LOU SULLIVAN MA Counseling MFCC
1132 SW 13TH AVENUE
PORTLAND, OR 97205-1703
Phone number: 503-535-3885
Mailing Address
Mrs. MARY LOU SULLIVAN MA Counseling MFCC
1132 SW 13TH AVENUE
PORTLAND, OR 97205-1703
Phone number: 503-535-3885
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