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1932256302
KENNETH P. SULLIVAN
HUNTSVILLE, AL
NPI
1932256302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: AL 413)
Enumeration Date
2007-01-05
Last Update Date
2007-07-09
Business Address
-- KENNETH P. SULLIVAN Ph.D.
1104 GLENEAGLES DR SW # B
HUNTSVILLE, AL 35801-6404
Phone number: 256-880-8202
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Mailing Address
-- KENNETH P. SULLIVAN Ph.D.
1104 GLENEAGLES DR SW # B
HUNTSVILLE, AL 35801-6404
Phone number: 256-880-8202
Copy
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