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Individual
MS. ELAINE MARIE SULLIVAN
Active
Individual
MS. ELAINE MARIE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC #8270
TX
106H00000X
Marriage & Family Therapist
LMFT #047960
TX
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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