Kaley Sullivan

NPI #1023478443 in Mchenry, Illinois

Provider Information

NPI Number: 1023478443
Entity Type: Individual
Name: Kaley Sullivan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Feb 26, 2016
Last Updated: Feb 26, 2016

Practice Location

Address: 3941 W DAYTON ST
City: Mchenry
State: Illinois
ZIP Code: 60050-8377
Phone: (815) 759-7055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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