Miranda L Sullivan

NPI #1235506981 in Marion, Illinois

Provider Information

NPI Number: 1235506981
Entity Type: Individual
Name: Miranda L Sullivan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 28, 2015
Last Updated: Jan 29, 2021

Practice Location

Address: 1307 W MAIN ST
City: Marion
State: Illinois
ZIP Code: 62959-1139
Phone: (855) 608-3560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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