Individual
KATHLEEN ANN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
621 W LAKE ST STE 350, MINNEAPOLIS, MN 55408-2952
(612) 979-2276
(612) 925-0427
Mailing address
3211 14TH AVE S, MINNEAPOLIS, MN 55407-2205
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13480
MN
Other
Enumeration date
04/06/2007
Last updated
10/22/2025
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