Individual
MISS AMANDA KATE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 N MAIN ST STE 317, WEST HARTFORD, CT 06117-2508
(860) 937-3875
Mailing address
28 LAUREL DR, WEST HARTFORD, CT 06110-1737
(860) 256-1810
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW.006749
CT
Other
Enumeration date
09/17/2019
Last updated
06/24/2024
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