Individual
MORGAN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2155 E MAIN ST, REEDSBURG, WI 53959-9440
(608) 415-3131
Mailing address
2155 E MAIN ST, REEDSBURG, WI 53959-9440
(608) 415-3131
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131080-121
WI
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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