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Individual

ASHLEY SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
200 WILLOW VALLEY SQ STE 210, LANCASTER, PA 17602-4859
(717) 478-3411
Mailing address
164 BAUMGARDNER RD, WILLOW STREET, PA 17584-9715

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW138441
PA

Other

Enumeration date
10/27/2021
Last updated
10/27/2021
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