Individual
MS. MARY ELIZABETH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2201 SOUTH 17TH STREET, LINCOLN, NE 68502-2953
(402) 441-7940
(402) 441-8625
Mailing address
2201 SOUTH 17TH STREET, LINCOLN, NE 68502-2953
(402) 441-7940
(402) 441-8625
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
68
NE
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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