Alicia N Sullivan

NPI #1194492728 in Greenwood, Mississippi

Provider Information

NPI Number: 1194492728
Entity Type: Individual
Name: Alicia N Sullivan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Aug 23, 2021
Last Updated: Aug 23, 2021

Practice Location

Address: 522 W PARK AVE STE Q-R
City: Greenwood
State: Mississippi
ZIP Code: 38930-2906
Phone: (662) 374-5029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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