Individual
MS. BRENDA MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1800 WESLEY RD, AUBURN, IN 46706-3653
(260) 925-2453
(260) 925-0830
Mailing address
PO BOX 817, KENDALLVILLE, IN 46755-0817
(260) 347-2453
(260) 347-2456
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002471A
IN
Other
Enumeration date
08/27/2006
Last updated
07/08/2007
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