MICHAEL JEROME SULLIVAN

KALAMAZOO, MI
NPI1912073305
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MI  6801016782)
Enumeration Date2006-11-28
Last Update Date2007-07-08
Business Address
MICHAEL JEROME SULLIVAN
1312 OAKLAND DR
KALAMAZOO, MI 49008-1205
Phone number: 269-337-3351
Mailing Address
MICHAEL JEROME SULLIVAN
4254 WINDING WAY
KALAMAZOO, MI 49004-3171
Phone number: 269-349-6090
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