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1902632953
CRYSTAL SULLIVAN
LAFAYETTE, LA
NPI
1902632953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 4453)
Enumeration Date
2024-09-09
Last Update Date
2024-09-09
Business Address
CRYSTAL SULLIVAN LCSW
106 HEYMANN BLVD
LAFAYETTE, LA 70503-2322
Phone number: 337-504-4279
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Mailing Address
CRYSTAL SULLIVAN LCSW
106 HEYMANN BLVD
LAFAYETTE, LA 70503-2322
Phone number:
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