Individual
KIMBERLY SUE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
2725 E SKELLY DR STE 200, TULSA, OK 74105-6253
(918) 592-1622
Mailing address
2725 E SKELLY DR STE 200, TULSA, OK 74105-6253
(918) 592-1622
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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