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Organization
SULLIVAN COUNSELING
Active
Organization
SULLIVAN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIAN K SULLIVAN LCSW (OWNER)
(260) 451-2500
Entity
Organization
Contact information
Practice address
10311 DAWSONS CREEK BLVD STE E, FORT WAYNE, IN 46825-1913
(260) 451-2500
(260) 451-2501
Mailing address
10311 DAWSONS CREEK BLVD STE E, FORT WAYNE, IN 46825-1913
(260) 451-2500
(260) 451-2501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001106A
IN
Other
Enumeration date
09/10/2012
Last updated
03/13/2015
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