Individual
MR. SYLVESTER L SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APSW
Contact information
Practice address
571 BRAUND ST, ONALASKA, WI 54650-8556
(608) 792-5330
Mailing address
571 BRAUND ST, ONALASKA, WI 54650-8556
(608) 785-7000
(608) 785-7477
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
134614
WI
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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