Individual
CHASE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
5982 RHODES RD, KENT, OH 44240-8100
(330) 673-1347
(330) 678-3677
Mailing address
799 S MAIN ST, LIMA, OH 45804-1519
(419) 229-2222
(419) 229-2227
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1450747
OH
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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