Individual
KALLY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
315 MELBOURNE LN, MECHANICSBURG, PA 17055-6626
(717) 215-5303
Mailing address
315 MELBOURNE LN, MECHANICSBURG, PA 17055-6626
(717) 215-5303
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22384
MD
Other
Enumeration date
08/16/2018
Last updated
04/18/2024
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