Sandra Sully I LCSW

NPI 1750460499 - Social Worker - 1041C0700X

NPI Details
NPI 1750460499
Gender Female
Enumeration Date 11/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
256 S ROBERTSON BLVD
797
BEVERLY HILLS CA, 90211-2811, US
Phone (626) 578-0419
Fax
Business Location
921 E COMPTON BLVD
COMPTON CA, 90221-3303, US
Phone (310) 668-6857
Fax (310) 898-3473
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number LCS10262
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According to our database, Sandra Sully I LCSW NPI is 1750460499, taxonomy code is 1041C0700X and license number is LCS10262, license state is located at California. Sandra Sully I LCSW physically located at 256 S Robertson Blvd, Beverly Hills CA, 90211-2811. NPI Number Sandra Sully I LCSW has the Individual type.

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1750460499 NPI number is provided on an as is basis without warranty of any kind. 1750460499 is maintained by the National Plan & Provider Enumeration System. The contents of Sandra Sully I LCSW are for informational purposes only.