Individual
MS. POLLY A SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RC
Contact information
Practice address
550 17TH AVE, 5TH FLOOR, SEATTLE, WA 98122-5788
(206) 386-3880
(206) 386-3882
Mailing address
PO BOX 84026, SEATTLE, WA 98124-8426
(206) 386-3880
(206) 386-3882
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
RC00016759
WA
Other
Enumeration date
05/07/2008
Last updated
02/18/2009
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