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Individual
MRS. LOTTIE J. SULLIVAN
Active
Individual
MRS. LOTTIE J. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
I0900135
OH
1041C0700X
Clinical Social Worker
Primary
I0900135SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08258
—
OH
Enumeration date
07/15/2009
Last updated
11/16/2011
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