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Individual
KATELYN E SULLINS
Active
Individual
KATELYN E SULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
89501
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447984877
RETROUVAILLE LLC
TX
Enumeration date
09/14/2022
Last updated
09/14/2022
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