Individual
ABBY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 42ND ST, DES MOINES, IA 50312-2701
(515) 255-8399
(515) 255-8405
Mailing address
600 42ND ST, DES MOINES, IA 50312-2701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007881
IA
Other
Enumeration date
01/20/2014
Last updated
01/20/2014
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