DIANNE LYNN SULLIVAN

HAYWARD, WI
NPI1942632997
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  1343-132)
Enumeration Date2013-08-01
Last Update Date2013-08-01
Business Address
MS. DIANNE LYNN SULLIVAN CSAC
13380 W TREPANIA RD
HAYWARD, WI 54843-2186
Phone number: 715-638-5111
Mailing Address
MS. DIANNE LYNN SULLIVAN CSAC
13380 W TREPANIA RD
HAYWARD, WI 54843-2186
Phone number: 715-638-5111
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