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Individual
DR. VIRGINIA MARY SULLIVAN
Active
Individual
DR. VIRGINIA MARY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
12546
CA
106H00000X
Marriage & Family Therapist
17121
CA
Other
Enumeration date
06/21/2007
Last updated
12/02/2021
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