Tim D Sullivan MSW, LCSW

NPI 1003038753 - Social Worker - 1041C0700X

NPI Details
NPI 1003038753
Gender Male
Enumeration Date 05/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
229 RIDGEWOOD AVE
APARTMENT 112
MINNEAPOLIS MN, 55403-3554, US
Phone (612) 600-7169
Fax
Business Location
229 RIDGEWOOD AVE
APARTMENT 112
MINNEAPOLIS MN, 55403-3554, US
Phone (612) 600-7169
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Missouri
License Number SW 003553
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According to our database, Mr. Tim D Sullivan MSW, LCSW NPI is 1003038753, taxonomy code is 1041C0700X and license number is SW 003553, license state is located at Missouri. Tim D Sullivan MSW, LCSW physically located at 229 Ridgewood Ave, Minneapolis MN, 55403-3554. NPI Number Tim D Sullivan MSW, LCSW has the Individual type.

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1003038753 NPI number is provided on an as is basis without warranty of any kind. 1003038753 is maintained by the National Plan & Provider Enumeration System. The contents of Tim D Sullivan MSW, LCSW are for informational purposes only.