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1982960431
MANDY SULLIVAN
MIDDLETOWN, CT
NPI
1982960431
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CT 002169)
Enumeration Date
2012-04-10
Last Update Date
2012-04-10
Business Address
-- MANDY SULLIVAN LPC
635 MAIN ST
MIDDLETOWN, CT 06457-2718
Phone number: 860-347-6971
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Mailing Address
-- MANDY SULLIVAN LPC
575 MAIN ST FL 2 ATTN: CREDENTIALING DPT
MIDDLETOWN, CT 06457-2845
Phone number: 860-347-6971
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