Individual
KELLI WHITE-SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(443) 756-2836
Mailing address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23637
MD
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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