Edward Braddock Sullivan
Edward Braddock Sullivan is a Counselor in Olympia, Washington. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
3857 Martin Way EOlympia, WA 98506-5268
Phone: (360) 704-7170
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1063092633 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 8, 2021 |
| Last updated in NPPES | April 8, 2021 |
| Certification date | April 8, 2021 |
| Mailing address | 3857 Martin Way E, Olympia, WA 98506-5268 |
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