E'bonique A Sullivan

NPI #1053581553 in San Bernardino, California

Provider Information

NPI Number: 1053581553
Entity Type: Individual
Name: E'bonique A Sullivan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 11, 2008
Last Updated: Mar 11, 2008

Practice Location

Address: 1963 N E ST
City: San Bernardino
State: California
ZIP Code: 92405-3919
Phone: (909) 881-6146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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