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Individual

AMELIA OWENS SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFT

Contact information

Practice address
1750 FRANCISCO BLVD, STE. 15, PACIFICA, CA 94044-2582
(650) 355-1133
(650) 355-1133
Mailing address
1750 FRANCISCO BLVD, SUITE #15, PACIFICA, CA 94044-2582
(650) 355-1133
(650) 355-1133

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
40618
CA

Other

Enumeration date
02/17/2006
Last updated
07/08/2007
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