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Individual

DAVID A SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 396-5937
Mailing address
1201 S PROCTOR ST, TACOMA, WA 98405-2047

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SC61364725
WA

Other

Enumeration date
11/07/2023
Last updated
11/07/2023
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