MR. Robert Dennis Sullivan, LCSW

NPI #1679609911 in Ketchikan, Alaska

Provider Information

NPI Number
1679609911
Entity Type
Individual
Name
MR. Robert Dennis Sullivan, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Credential
LCSW
Enumeration Date
Feb 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
102 CARLANNA LAKE ROAD
State
Alaska
ZIP Code
99901
Phone
(907) 225-5576

Specialties & Taxonomy Codes

Specialty
Counselor

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