Individual
KADEN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LSWAIC
Contact information
Practice address
1220 4TH AVE E, OLYMPIA, WA 98506-4212
(360) 320-6876
Mailing address
PO BOX 257, PMB 10719, OLYMPIA, WA 98507-0257
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61448604
WA
Other
Enumeration date
11/08/2024
Last updated
12/28/2024
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