Individual
EMMA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3737 W 4100 S, SALT LAKE CITY, UT 84120-5543
(888) 949-4864
Mailing address
3725 W 4100 S STE 201, SALT LAKE CITY, UT 84120-6490
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
13431587-3501
UT
Other
Enumeration date
05/10/2022
Last updated
04/17/2025
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