Individual
KAYLEIGH JO SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2248 N BEAUREGARD ST APT 12, ALEXANDRIA, VA 22311-2248
(831) 747-4738
Mailing address
2248 N BEAUREGARD ST APT 12, ALEXANDRIA, VA 22311-2248
(831) 747-4738
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC200002858
DC
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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