Individual
ALEXANDER WILLIAM SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
5320 HOLIDAY TER STE 3, KALAMAZOO, MI 49009-2100
(269) 459-1512
(269) 459-1151
Mailing address
7071 SANDPIPER ST, PORTAGE, MI 49024-7406
(269) 547-9730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851116184
MI
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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