CORISSA DANTE' SULLIVAN

LOS ANGELES, CA
NPI1033865712
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  110009)
Enumeration Date2022-02-22
Last Update Date2025-10-16
Business Address
CORISSA DANTE' SULLIVAN
470 E 3RD ST
LOS ANGELES, CA 90013-1629
Phone number: 213-620-5712
Mailing Address
CORISSA DANTE' SULLIVAN
470 E 3RD ST
LOS ANGELES, CA 90013-1629
Phone number: