Individual
SUSAN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7841 EL CAJON BLVD, LA MESA, CA 91941-3709
(619) 697-2038
Mailing address
3612 4TH AVE, SAN DIEGO, CA 92103-4106
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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