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1902065964
DEBORAH JEAN SULLIVAN
GRAND RAPIDS, MN
NPI
1902065964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 302323)
Enumeration Date
2008-06-05
Last Update Date
2008-06-05
Business Address
-- DEBORAH JEAN SULLIVAN LADC
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744-4201
Phone number: 218-313-1338
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Mailing Address
-- DEBORAH JEAN SULLIVAN LADC
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744-4201
Phone number:
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