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1821046756
MICHELLE LEE SULLIVAN
PHOENIX, AZ
NPI
1821046756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW-10466)
Enumeration Date
2006-05-04
Last Update Date
2008-04-09
Business Address
-- MICHELLE LEE SULLIVAN LCSW, LISAC
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 602-277-5551
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Mailing Address
-- MICHELLE LEE SULLIVAN LCSW, LISAC
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 602-277-5551
Copy
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