Individual
MS. MAUREEN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-2830
(253) 341-9538
Mailing address
309 E 91ST ST, TACOMA, WA 98445-2103
(253) 341-9538
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
18353
MD
Other
Enumeration date
10/19/2005
Last updated
08/21/2020
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