MR. Tim D Sullivan, MSW, LCSW
NPI #1003038753 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1003038753
- Entity Type
- Individual
- Name
- MR. Tim D Sullivan, MSW, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LCSW
- Enumeration Date
- May 3, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 229 RIDGEWOOD AVE
- Address 2
- APARTMENT 112
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55403-3554
- Phone
- (612) 600-7169
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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