Individual
TAMIKA MICHELLE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
77 CALLE PORTAL STE C240, SIERRA VISTA, AZ 85635-2986
(520) 515-8669
(520) 515-8688
Mailing address
4655A N. COMMERCE DRIVE, SIERRA VISTA, AZ 85635
(520) 459-3012
(520) 459-3207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006080
NC
Other
Enumeration date
01/15/2010
Last updated
02/20/2024
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