Individual
BEVERLY K SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
337 3RD ST, BEAVER, PA 15009-2302
(724) 728-6670
(724) 728-5570
Mailing address
1840 TUSCARAWAS RD, BEAVER, PA 15009-1148
(724) 728-3288
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW004925E
PA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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