Individual
MRS. SARA NIVENS SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
7629 VELVET MIST ST., LAS VEGAS, NV 89131-3651
(702) 939-8556
Mailing address
7629 VELVET MIST ST, LAS VEGAS, NV 89131-3651
(702) 939-8556
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4914-S
NV
Other
Enumeration date
07/28/2006
Last updated
11/27/2007
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