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1881996288
MARY E SULLIVAN
CHICAGO, IL
NPI
1881996288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: IL MS58550810P)
Enumeration Date
2010-11-17
Last Update Date
2010-11-17
Business Address
Ms. MARY E SULLIVAN
2300 N COMMONWEALTH AVE UNIT 2E
CHICAGO, IL 60614-3447
Phone number: 312-388-1313
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Mailing Address
Ms. MARY E SULLIVAN
2300 N COMMONWEALTH AVE UNIT 2E
CHICAGO, IL 60614-3447
Phone number: 312-388-1313
Copy
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