Individual
TAYLOR SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
230 N 1680 E STE D1, ST GEORGE, UT 84790-2576
(435) 705-9571
(435) 922-0778
Mailing address
230 N 1680 E STE D1, ST GEORGE, UT 84790-2576
(435) 705-9571
(435) 922-0778
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13216799-3502
UT
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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