Jessica Lynn Sullivan
NPI #1174024020 in Madisonville, Kentucky
Provider Information
- NPI Number
- 1174024020
- Entity Type
- Individual
- Name
- Jessica Lynn Sullivan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 26, 2018
- Last Updated
- Aug 27, 2019
Practice Location
- Address
- 200 CLINIC DR
- City
- Madisonville
- State
- Kentucky
- ZIP Code
- 42431-1661
- Phone
- (270) 821-8874
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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