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Organization
HANNAH SULLIVAN LLC
Active
Organization
HANNAH SULLIVAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HANNAH CHRISTINE SULLIVAN LMSW, LMFT (OWNER/THERAPIST)
(586) 943-3292
Entity
Organization
Contact information
Practice address
2828 KRAFT AVE SE, GRAND RAPIDS, MI 49512
(586) 943-3292
Mailing address
1314 CALVIN AVE SE, GRAND RAPIDS, MI 49506-3212
(586) 943-3292
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801085815
MI
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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