Individual
LESLIE A SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
4285 N RANCHO DR STE 130, LAS VEGAS, NV 89130-3455
(702) 385-5331
(702) 385-5678
Mailing address
4285 N RANCHO DR STE 130, LAS VEGAS, NV 89130-3455
(702) 385-5331
(702) 385-5678
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5380-S
NV
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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