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Individual
KATHLEEN SULLIVAN
Active
Individual
KATHLEEN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APRN-1154
HI
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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