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Individual

STEPHANIE MARIE SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LMFT

Contact information

Practice address
4805 LYNN LN, VALPARAISO, IN 46383-1600
(248) 429-9195
Mailing address
4805 LYNN LN, VALPARAISO, IN 46383-1600
(248) 429-9195

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35002289A
IN
106H00000X
Marriage & Family Therapist
4101007160
MI

Other

Enumeration date
04/15/2018
Last updated
01/30/2026
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