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Individual

DANEY SUNNY SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
151 N MARKET BLVD STE C, CHEHALIS, WA 98532-2677
(360) 948-0203
Mailing address
3270 WILLAMETTE DR NE UNIT 302, LACEY, WA 98516-1437
(970) 210-7963

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/19/2025
Last updated
07/15/2026
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