Individual
KELLY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 LEES AVE, COLLINGSWOOD, NJ 08108-2070
(856) 240-0868
Mailing address
24 LEES AVE, COLLINGSWOOD, NJ 08108-2070
(856) 240-0868
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC06457800
NJ
104100000X
Social Worker
Primary
44SL05813500
NJ
Other
Enumeration date
07/19/2021
Last updated
01/28/2026
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