Individual
MS. ANDREA LEIGH SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3630 W PIONEER PKWY STE 124, PANTEGO, TX 76013-4533
(817) 307-4250
(817) 795-4492
Mailing address
1610 BRUNSON CT, ARLINGTON, TX 76012-4041
(817) 307-4250
(817) 795-4492
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
30002
TX
Other
Enumeration date
06/16/2010
Last updated
08/19/2021
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