Michelle P Sullivan, LCSW

NPI #1134110760 in Nellis Air Force Base, Nevada

Provider Information

NPI Number: 1134110760
Entity Type: Individual
Name: Michelle P Sullivan, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Nov 2, 2005
Last Updated: Mar 10, 2014

Practice Location

Address: 4700 NORTH LAS VEGAS BOULEVARD
Address 2: MIKE O'CALLAGHAN FEDERAL MEDICAL CENTER
City: Nellis Air Force Base
State: Nevada
ZIP Code: 89191-6601
Phone: (702) 653-3455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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