Individual
KATHRINE MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1378 S STATE ROAD 46 STE A, TERRE HAUTE, IN 47803-9787
(812) 877-3310
(833) 451-2225
Mailing address
106 S FRY ST, JASONVILLE, IN 47438-1306
(812) 699-5548
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33012638A
IN
Other
Enumeration date
10/23/2024
Last updated
03/21/2025
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