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Individual

ANDREA SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2403 PROFESSIONAL DR STE 101, SANTA ROSA, CA 95403-3007
(707) 544-3295
Mailing address
2403 PROFESSIONAL DR STE 101, SANTA ROSA, CA 95403-3007

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW112006
CA

Other

Enumeration date
10/23/2023
Last updated
10/23/2023
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