Robert Allen Sullivan, LICSW
NPI #1548224355 in Coon Rapids, Minnesota
Provider Information
- NPI Number
- 1548224355
- Entity Type
- Individual
- Name
- Robert Allen Sullivan, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Apr 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1930 COON RAPIDS BLVD
- Address 2
- FAMILY LIFE MENTAL HEALTH CENTER
- City
- Coon Rapids
- State
- Minnesota
- ZIP Code
- 55433
- Phone
- (763) 427-7964
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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|---|---|
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