Tiffany Sullivan MSW

NPI 1215055983 - Social Worker - 1041S0200X

NPI Details
NPI 1215055983
Gender Female
Enumeration Date 03/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
12101 W WASHINGTON BLVD
LOS ANGELES CA, 90066-5501, US
Phone (310) 751-1113
Fax
Business Location
12101 W WASHINGTON BLVD
LOS ANGELES CA, 90066-5501, US
Phone (310) 751-1113
Fax
Toxanomy
Taxonomy Code 1041S0200X
License State California
License Number 17228
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According to our database, Ms. Tiffany Sullivan MSW NPI is 1215055983, taxonomy code is 1041S0200X and license number is 17228, license state is located at California. Tiffany Sullivan MSW physically located at 12101 W Washington Blvd, Los Angeles CA, 90066-5501. NPI Number Tiffany Sullivan MSW has the Individual type.

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1215055983 NPI number is provided on an as is basis without warranty of any kind. 1215055983 is maintained by the National Plan & Provider Enumeration System. The contents of Tiffany Sullivan MSW are for informational purposes only.