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Individual

HOLLY MARIE MCKENZIESULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
402 YAUGER WAY SW, OLYMPIA, WA 98502-8660
(360) 968-0755
Mailing address
14702 OLD HIGHWAY 99 SE, TENINO, WA 98589-9620
(360) 807-3342

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/04/2023
Last updated
12/10/2025
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