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1902398027
JERMAINE NICHOLAS SULLIVAN
ATLANTA, GA
NPI
1902398027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-06-04
Last Update Date
2018-06-04
Business Address
JERMAINE NICHOLAS SULLIVAN NCC
365 NORTHRIDGE RD STE 310
ATLANTA, GA 30350-6101
Phone number: 770-771-6900
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Mailing Address
JERMAINE NICHOLAS SULLIVAN NCC
2788 DEFOORS FERRY RD NW APT 333
ATLANTA, GA 30318-2139
Phone number: 404-401-6068
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