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1851844039
GERALD P. SULLIVAN
BOSTON, MA
NPI
1851844039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MA 134)
Enumeration Date
2016-07-25
Last Update Date
2016-07-25
Business Address
GERALD P. SULLIVAN LADC 1
8 FARNHAM ST
BOSTON, MA 02119-2908
Phone number: 617-971-9360
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Mailing Address
GERALD P. SULLIVAN LADC 1
8 FARNHAM ST
BOSTON, MA 02119-2908
Phone number: 617-971-9360
Copy
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