Individual
AMANDA L SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5125 COUNTY ROAD 101, SUITE 300, RELATE, INC., MINNETONKA, MN 55345
(952) 932-7277
(952) 932-9827
Mailing address
5125 COUNTY ROAD 101 SUITE 300, RELATE, INC., MINNETONKA, MN 55345
(952) 932-7277
(952) 932-9827
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21384
MN
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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