Kelly Sullivan, MSW, LCSW

NPI #1457645434 in Milwaukie, Oregon

Provider Information

NPI Number: 1457645434
Entity Type: Individual
Name: Kelly Sullivan, MSW, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW, LCSW
Enumeration Date: Jun 7, 2011
Last Updated: Jan 30, 2017

Practice Location

Address: 10883 SE MAIN ST
Address 2: STE. 204
City: Milwaukie
State: Oregon
ZIP Code: 97222-7641
Phone: (503) 381-2422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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