Edward Braddock Sullivan

NPI #1063092633 in Olympia, Washington

Provider Information

NPI Number
1063092633
Entity Type
Individual
Name
Edward Braddock Sullivan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Apr 8, 2021
Last Updated
Apr 8, 2021

Practice Location

Address
3857 MARTIN WAY E
ZIP Code
98506-5268
Phone
(360) 704-7170

Specialties & Taxonomy Codes

Specialty
Counselor

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