Individual
GABRIELLE ELIZABETH SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2900 S 70TH ST STE 160, LINCOLN, NE 68506-3733
(402) 875-1720
Mailing address
2900 S 70TH ST STE 160, LINCOLN, NE 68506-3733
(402) 875-1720
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4788
NE
Other
Enumeration date
06/28/2016
Last updated
08/20/2020
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