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1922715002
STACEY LEIGH SULLIVAN
GARNER, NC
NPI
1922715002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C001539)
Enumeration Date
2022-10-31
Last Update Date
2022-10-31
Business Address
STACEY LEIGH SULLIVAN MSW
69 SHIPWASH DR
GARNER, NC 27529-6860
Phone number: 919-772-1990
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Mailing Address
STACEY LEIGH SULLIVAN MSW
69 SHIPWASH DR
GARNER, NC 27529-6860
Phone number:
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