Individual
AMANDA ALLIEN VIVIAN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 TECHNOLOGY DR STE A, ASHEVILLE, NC 28803-5009
(828) 251-6319
Mailing address
100 TECHNOLOGY DR STE A, ASHEVILLE, NC 28803-5009
(919) 445-7020
(919) 445-2352
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
119185
MA
1041C0700X
Clinical Social Worker
Primary
C011779
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/13/2011
Last updated
05/03/2022
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